title: Concomitant Thoracic Aortobifemoral Bypass With Left Ventricular Assist Device Implantation.
abstract: Improved quality of life for patients after left ventricular assist device (LVAD) implantation can be greatly limited by peripheral vascular disease even if heart failure symptoms are resolved by LVAD support. We present a case of concomitant thoracic aortobifemoral bypass and LVAD implantation in a patient with ischemic cardiomyopathy, severe peripheral vascular disease, and multiple previous failed revascularization attempts. In this patient, we used the LVAD outflow to provide the inflow to the femoral artery bypass graft. This graft has remained patent at a 2-year follow-up, without claudication symptoms. Performing concomitant major vascular operations safely and successfully is feasible in patients with LVADs. Quality of life after ventricular assist device placement can be limited by vascular disease, but it can be markedly improved after vascular surgical intervention.
authors: Division of Cardiothoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina. Electronic address: muath.bishawi@duke.edu.
authors: Muath
authors: M
authors: Bishawi
authors: Division of Cardiothoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina.
authors: Asad A
authors: AA
authors: Shah
authors: Division of Vascular Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina.
authors: Richard L
authors: RL
authors: McCann
authors: Division of Cardiothoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina.
authors: Carmelo A
authors: CA
authors: Milano
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D000792:Angiography; D001012:Aorta, Abdominal / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005263:Femoral Artery / Q000601:surgery*; D006333:Heart Failure / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures / Q000379:methods*