Surgical management of unusual gastrointestinal bleeding and a left ventricular assist device.
There is growing evidence that patients treated with continuous flow ventricular assist devices are at increased risk for bleeding complications beyond what would be expected for those requiring anti-coagulation therapy. However, the management of these patients is typically medical. We present a case of unusual gastrointestinal bleeding successfully managed with surgical intervention in a patient with a Heartmate II ventricular assist device.
Smith
Vance
V
Department of General Surgery, The Ohio State University Medical Center, Columbus, OH 43210, USA.
Sun
Benjamin
B
Lindsey
David
D
Firstenberg
Michael S
MS
D000368:Aged; D000925:Anticoagulants / Q000009:adverse effects; D009202:Cardiomyopathies / Q000150:complications / Q000628:therapy*; D016099:Endoscopy, Gastrointestinal; D005260:Female; D006353:Heart-Assist Devices / Q000009:adverse effects*; D006489:Hemostatic Techniques; D006801:Humans; D008026:Ligation; D010438:Peptic Ulcer Hemorrhage / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D013276:Stomach Ulcer / Q000150:complications / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome
D000925:Anticoagulants