Left Ventricular Assist Device Implantation in a Thrombosed Apical Aneurysm

Daniele Masarone; Enrico Melillo; Rita Gravino; Rossella Vastarella; Angelo Caiazzo; Fabio Ursomando; Giuseppe Pacileo; Andrea Petraio

doi:10.3390/clinpract11030057

Left Ventricular Assist Device Implantation in a Thrombosed Apical Aneurysm

Clin Pract. 2021 Jul 1;11(3):430-434. doi: 10.3390/clinpract11030057.

Authors

Daniele Masarone¹, Enrico Melillo¹, Rita Gravino¹, Rossella Vastarella¹, Angelo Caiazzo², Fabio Ursomando², Giuseppe Pacileo¹, Andrea Petraio²

Affiliations

¹ Heart Failure Cardiology Unit, Department of Cardiology, AO dei Colli, Monaldi Hospital, 80131 Naples, Italy.
² Heart Transplant Unit, Department of Cardiovascular Surgery and Transplants, AO dei Colli, Monaldi Hospital, 80131 Naples, Italy.

Abstract

Left ventricular assist device implantation is a challenging procedure in the presence of a giant thrombosed aneurysm, and no standard surgical techniques are currently recommended in this setting. In this case, we report the successful implantation of a left ventricular assist device (HeartMate III) in a patient with a massive thrombosed apical aneurysm. The patient presented with extended antero-apical necrosis as a result of a delay in hospital admission for acute coronary syndrome due to the patient's concerns about the COVID-19 pandemic outbreak.

Keywords: HeartMate III; advanced heart failure; apical aneurysm; left ventricular assist device.

Publication types

Case Reports