LVAD with concomitant rapid deployment valve implantation - A case report

Daniel D. Holloway, Lindsay C. Jones, Soo J. Howell, Jonathan D. Rich, Duc Thinh Pham*

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Background: Aortic valve insufficiency can have significant hemodynamic consequences for patients with left ventricular assist devices. A circulation loop can limit systemic blood flow and increase left ventricular filling pressure. Case presentation: A 64-year-old male with non-ischemic dilated cardiomyopathy underwent Heartware™ HVAD left ventricular assist device implantation with successful concomitant aortic valve replacement with an Edwards Intuity rapid deployment prosthetic valve. Conclusions: The use of this rapid deployment valve may have benefits over other techniques including shorter cross clamp times during surgery, intermediate-long term durability, and preservation of aortic valve opening to allow for potential ventricular recovery. The Intuity rapid deployment valve should thus be considered a viable and suitable option for aortic insufficiency intervention during LVAD implantation.

Original languageEnglish (US)
Article number126
JournalJournal of Cardiothoracic Surgery
Volume14
Issue number1
DOIs
Publication statusPublished - Jul 1 2019

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Keywords

  • Aortic valve replacement
  • Left ventricular assist device
  • Mechanical circulatory support
  • Rapid deployment valve

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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