Combined Open Repair of an Abdominal Aortic Aneurysm and Relief of a Left Ventricular Assist Device Outflow Graft Obstruction

Patients with left ventricular assist devices (LVAD) continue to present at increasing rates for noncardiac surgery. Within the authors' case report, they highlight a patient who required a multidisciplinary approach to handle the removal of an LVAD outflow graft obstruction and concomitant open abdominal aortic aneurysm (AAA) repair during the same anesthetic. Within this case report, the authors also highlight a novel cannulation strategy to minimize the hemodynamic effects of the aortic cross-clamp and other interesting aspects of the case.

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Work Title Combined Open Repair of an Abdominal Aortic Aneurysm and Relief of a Left Ventricular Assist Device Outflow Graft Obstruction
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Open Access
Creators
  1. David Carroll
  2. Theodore J. Cios
  3. Scott Coleman
  4. David C. Han
  5. Behzad Soleimani
Keyword
  1. Left ventricular assist device
  2. Mechanical circulatory support
  3. Cannulation
  4. Abdominal aortic aneurysm
  5. Cardiopulmonary bypass
  6. Thromboelastography
License CC BY-NC-ND 4.0 (Attribution-NonCommercial-NoDerivatives)
Work Type Article
Publisher
  1. Journal of Cardiothoracic and Vascular Anesthesia
Publication Date August 22, 2022
Publisher Identifier (DOI)
  1. https://doi.org/10.1053/j.jvca.2022.08.014
Deposited February 28, 2023

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Version 1
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  • Created
  • Added Combined_Open_Repair_of_an_Abdominal_Aortic_Aneurysm_and_Relief_of_a_Left_Ventricular_Assist_Device_Outflow_Graft_Obstruction.docx
  • Added Creator David Carroll
  • Added Creator Theodore J. Cios
  • Added Creator Scott Coleman
  • Added Creator David C. Han
  • Added Creator Behzad Soleimani
  • Published
  • Updated Keyword, Description Show Changes
    Keyword
    • Left ventricular assist device, Mechanical circulatory support, Cannulation, Abdominal aortic aneurysm, Cardiopulmonary bypass, Thromboelastography
    Description
    • PATIENTS WITH LEFT VENTRICULAR assist devices (LVAD) continue to present at increasing rates for noncardiac surgery. Within the authors' case report, they highlight a patient who required a multidisciplinary approach to handle the removal of an LVAD outflow graft obstruction and concomitant open abdominal aortic aneurysm (AAA) repair during the same anesthetic. Within this case report, the authors also highlight a novel cannulation strategy to minimize the hemodynamic effects of the aortic cross-clamp and other interesting aspects of the case.
    • Patients with left ventricular assist devices (LVAD) continue to present at increasing rates for noncardiac surgery. Within the authors' case report, they highlight a patient who required a multidisciplinary approach to handle the removal of an LVAD outflow graft obstruction and concomitant open abdominal aortic aneurysm (AAA) repair during the same anesthetic. Within this case report, the authors also highlight a novel cannulation strategy to minimize the hemodynamic effects of the aortic cross-clamp and other interesting aspects of the case.
  • Updated