title: Successful bridge to recovery using two-stage HeartWare LVAD explantation approach after embolic stroke.
abstract: A two-stage explantation of a left ventricular assist device (LVAD) was performed on 47 year old afro-american gentlemen with non-ischemic dilated cardiomyopathy (DCM) who was successfully bridged to recovery. After he suffered a stroke caused by a VAD thrombosis with embolisation, the VAD outflow graft was first ligated using minimally-invasive approach. Two months later, the device was explanted and a manufactured titanium plug was placed into the sewing ring. This stepwise procedure might be beneficial in cases of high thromboembolic risk and in patients who suffered a thromboembolic event previously.
authors.affiliation: Department of Cardiothoracic Transplantation & Mechanical Support, Royal Brompton and Harefield NHS Trust, Harefield Hospital, Hill End Road, Harefield, Middlesex, United Kingdom UB9 6JH. A.Sabashnikov@rbht.nhs.uk.
authors.forename: Anton
authors.initials: A
authors.lastname: Sabashnikov
authors.forename: Benjamin A
authors.initials: BA
authors.lastname: Högerle
authors.forename: Prashant N
authors.initials: PN
authors.lastname: Mohite
authors.forename: Aron-Frederik
authors.initials: AF
authors.lastname: Popov
authors.forename: Diana García
authors.initials: DG
authors.lastname: Sáez
authors.forename: Javid
authors.initials: J
authors.lastname: Fatullayev
authors.forename: Mohamed
authors.initials: M
authors.lastname: Amrani
authors.forename: Thorsten
authors.initials: T
authors.lastname: Wahlers
authors.forename: André R
authors.initials: AR
authors.lastname: Simon
authors.forename: Toufan
authors.initials: T
authors.lastname: Bahrami
mesh_terms: D006348:Cardiac Surgical Procedures / Q000295:instrumentation* / Q000379:methods*; D003328:Coronary Thrombosis / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods; D056346:Sternotomy; D020521:Stroke / Q000601:surgery*