Cerebral embolism associated with left ventricular assist device support and successful therapy with intraarterial urokinase

Vigneshwar Kasirajan, Nicholas G. Smedira*, John Per, Patrick M. McCarthy

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

A patient with a bioprosthetic aortic valve sustained a cerebral embolism during support with an implantable left ventricular assist device. This was lysed with intraarterial urokinase with complete resolution of the neurological deficit. Subsequently the patient underwent heart transplantation and remains neurologically intact. This case report is the first successful use of thrombolysis for cerebral embolism associated with a mechanical assist device.

Original languageEnglish (US)
Pages (from-to)1148-1150
Number of pages3
JournalAnnals of Thoracic Surgery
Volume67
Issue number4
DOIs
StatePublished - Apr 1 1999

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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