Intraoperative Massive Graft Thrombosis and Failure after Heart Transplant in LVAD Assisted Patients: Report of Two Cases

Bounader Karl, Anselmi Amedeo, Verhoye Jean Philippe and Flécher Erwan

Division of Thoracic and Cardiovascular Surgery, Pontchaillou University Hospital, France

^*Correspondance to: Bounader Karl 

 PDF  Full Text DOI: 10.25107/2474-1647.2350

Abstract

Left Ventricular Assistance Devices (LVAD) is an increasingly used option for advanced heart failure patients on waiting list for cardiac transplantation (C-Tx). LVAD recipients are prone to thromboembolic complications caused by blood activation and systemic inflammation. Even though similar survival has been observed with or without LVAD at the time of transplantation, particular LVAD-related morbidity may occur. Herein we describe two unique cases of acute intracavitary cardiac graft thrombosis and fulminant heart failure, occurring per-operatively, after weaning from cardiopulmonary bypass, in heart transplant recipients who had benefited of an LVAD as bridge to transplantation.

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Cite the article

Karl B, Amedeo A, Philippe VJ, Erwan F. Intraoperative Massive Graft Thrombosis and Failure after Heart Transplant in LVAD Assisted Patients: Report of Two Cases. Clin Surg. 2019; 4: 2350.