title: Implantation of left ventricular assist device in a patient with left ventricular non-compaction.
abstract: Left ventricular noncompaction (LVNC) may result in systolic left ventricular (LV) failure resulting in the need for heart transplantation. LV assist devices (LVAD) have been used to bridge these patients to transplantation; however, the extensive trabeculations found in these patients predispose them to thromboembolic events and pump thrombosis. We describe a patient with LVNC in whom an aggressive surgical approach was used to debride the LV cavity of trabeculations to successfully implant an LVAD.
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
authors.forename: Keki R
authors.initials: KR
authors.lastname: Balsara
authors.affiliation: Department of Radiology, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
authors.forename: Andrew
authors.initials: A
authors.lastname: Bierhals
authors.affiliation: Division of Cardiology, Department of Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
authors.forename: Justin
authors.initials: J
authors.lastname: Vader
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
authors.forename: Michael K
authors.initials: MK
authors.lastname: Pasque
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
authors.forename: Aki
authors.initials: A
authors.lastname: Itoh
mesh_terms: D000328:Adult; D006348:Cardiac Surgical Procedures / Q000379:methods*; D009202:Cardiomyopathies / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D004452:Echocardiography; D005260:Female; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006353:Heart-Assist Devices; D006801:Humans; D014057:Tomography, X-Ray Computed; D016277:Ventricular Function, Left / Q000502:physiology*