title: Management of biventricular assist device implantation in patients with necrotic pancreatitis.
abstract: This report describes the management of biventricular assist device (BIVAD) implantation in a patient with necrotic pancreatitis. BIVADs provide mechanical support for ventricular ejection in the failing heart and have become an accepted treatment for end-stage heart failure. They also have proved to be a successful bridge to heart transplantation. As their popularity has grown, the number of patients with BIVADs presenting for noncardiac surgery is increasing. We report the successful management of an implanted extracorporeal BIVAD in a patient with end-stage heart failure and with pancreatic stents in a case of necrotic pancreatitis. Historical, physical, laboratory, and imaging data allowed conservative management leading to a favorable outcome.
authors.affiliation: Department of Cardiac Surgery, University of Heidelberg, Heidelberg, Germany.
authors.forename: Victor
authors.initials: V
authors.lastname: Gertner
authors.forename: Viktor
authors.initials: V
authors.lastname: Bordel
authors.forename: Ursel
authors.initials: U
authors.lastname: Tochtermann
authors.forename: Klaus
authors.initials: K
authors.lastname: Kallenbach
authors.forename: Markus
authors.initials: M
authors.lastname: Verch
authors.forename: Matthias
authors.initials: M
authors.lastname: Ungerer
authors.forename: Patricia
authors.initials: P
authors.lastname: Piontek
authors.forename: Rawa
authors.initials: R
authors.lastname: Arif
authors.forename: Mohammad Reza Mohammad
authors.initials: MR
authors.lastname: Hasani
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Takahashi
authors.forename: Mina
authors.initials: M
authors.lastname: Farag
authors.forename: Arjang
authors.initials: A
authors.lastname: Ruhparwar
authors.forename: Matthias
authors.initials: M
authors.lastname: Karck
authors.forename: Ali
authors.initials: A
authors.lastname: Ghodsizad
authors.forename: Amir Reza Mohammad
authors.initials: AR
authors.lastname: Hasani
mesh_terms: D006333:Heart Failure / Q000150:complications* / Q000601:surgery*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged; D019283:Pancreatitis, Acute Necrotizing / Q000150:complications* / Q000601:surgery*; D019919:Prosthesis Implantation / Q000379:methods*; D015607:Stents; D016896:Treatment Outcome