title: Recurrent orthostatic syncope due to left atrial and left ventricular collapse after a continuous-flow left ventricular assist device implantation.
abstract: Left ventricular assist devices (LVADs) have become an established treatment for patients with advanced heart failure as a bridge to transplantation or for permanent support as an alternative to heart transplantation. Continuous-flow LVADs have been shown to improve outcomes, including survival, and reduce device failure compared with pulsatile devices. Although LVADs have been shown to be a good option for patients with end-stage heart failure, unanticipated complications may occur. We describe dynamic left atrial and left ventricular chamber collapse related to postural changes in a patient with a recent continuous-flow LVAD implantation.
authors.affiliation: Department of Medicine, Division of Cardiology, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA.
authors.forename: Avinash
authors.initials: A
authors.lastname: Chandra
authors.forename: Rajesh
authors.initials: R
authors.lastname: Pradhan
authors.forename: Francis Y
authors.initials: FY
authors.lastname: Kim
authors.forename: Daniel R
authors.initials: DR
authors.lastname: Frisch
authors.forename: Linda J
authors.initials: LJ
authors.lastname: Bogar
authors.forename: Raphael
authors.initials: R
authors.lastname: Bonita
authors.forename: Nicholas C
authors.initials: NC
authors.lastname: Cavarocchi
authors.forename: Arnold J
authors.initials: AJ
authors.lastname: Greenspon
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Hirose
authors.forename: Harrison T
authors.initials: HT
authors.lastname: Pitcher
authors.forename: Sharon
authors.initials: S
authors.lastname: Rubin
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Mather
mesh_terms: D006325:Heart Atria; D006331:Heart Diseases / Q000150:complications* / Q000209:etiology; D006352:Heart Ventricles; D006353:Heart-Assist Devices / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013575:Syncope / Q000209:etiology*