Results
Title

Heart transplantation in a patient with left ventricular assist device after pump thrombosis -The first case report in Serbia.

Authors

Terzić, Duško; Putnik, Svetozar; Nestorović, Emilija; Bilbija, Ilija; Bukarica, Ljiljana Gojković; Jovičić, Vladimir; Rajković, Jovana; Ristić, Miljko

Abstract

Introduction. The device thrombosis is one of the most serious complications of the left ventricle assist device implantation with a high mortality and morbidity rate. Case report. A 59-year-old male was implanted by left ventricular assist device Heart Mate II as a bridge to transplantation seventeen months before the onset of a potentially fatal complication - the thrombosis with the complete obstruction of the device. Despite the aggressive pharmacological treatment following the initial suspicion of the pump thrombosis, the patient condition got worse with the final "pump off" alarm that marked the discontinuance of the pump work as a result of the complete obstruction by the thrombus. An appropriate occurrence of an adequate donor resulted in a successful surgical treatment - the heart transplantation. Conclusion. The urgent heart transplantation by the first priority rank, or the device replacement, although technically extremely demanding procedures, are successful treatment options for these patients.

Subjects

SERBIA; HEART transplant recipients; HEART assist devices; THROMBOSIS; HEART transplantation; PUMPING machinery; CARDIOGENIC shock

Publication

Vojnosanitetski Pregled: Military Medical & Pharmaceutical Journal of Serbia, 2020, Vol 77, Issue 12, p1327

ISSN

0042-8450

Publication type

Academic Journal

DOI

10.2298/VSP180701182T