Trauma in Patients With Continuous-Flow Left Ventricular Assist Devices - 23/10/13
, Andrew B. Civitello, MD, Enoch E. Agunanne, MD, Peggy Odegaard, RN, BSN, William E. Cohn, MD, O.H. Frazier, MDAbstract |
Trauma-related failure of a continuous-flow left ventricular assist device (LVAD) has not previously been reported. We present 4 cases in which LVAD complications were likely caused by external trauma and led to failure of a HeartMate II device. In 1 case, the onset of symptoms was delayed and the patient did not seek medical attention until months after the traumatic event. All 4 patients required surgical intervention, and 1 patient died of respiratory complications several months postoperatively. In conclusion, a history of external trauma should be considered as a possible etiologic factor when LVAD-supported patients in previously stable condition present with device malfunction.
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Vol 112 - N° 9
P. 1520-1522 - novembre 2013 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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