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Acute Clinical Deterioration in a Patient with End‐Stage Dilated Cardiomyopathy and Left Ventricular Thrombus Formation
Author(s) -
Marx Manfred,
Golej Johann,
Wollenek Gregor,
Boigner Harald
Publication year - 1999
Publication title -
artificial organs
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 76
eISSN - 1525-1594
pISSN - 0160-564X
DOI - 10.1046/j.1525-1594.1999.06459.x
Subject(s) - thrombus , dilated cardiomyopathy , medicine , ventricle , left ventricular thrombus , cardiology , stage (stratigraphy) , ventricular assist device , cardiomyopathy , heart failure , paleontology , biology
The case of a 17‐year‐old male patient with severe end‐stage dilated cardiomyopathy and a large thrombus formation within the cavum of the left ventricle is reported. After an acute thrombectomia combined with a partial left ventriculectomy (Batista procedure), the patient was successfully treated with an appropriate left ventricular assist device (LVAD) system using a centrifugal nonocclusive pump (Biomedicus, Medtronic, Anaheim, CA, U.S.A.). Mechanical support was removed on Day 9, and the patient was discharged from the hospital on Day 19. The effectiveness of emergency mechanical support in patients with very unfavorable prognoses is discussed.