Missing the blind spot in a HeartMate 3 LVAD outflow graft obstruction caused by fungal infection | Zendy

Hoermandinger Christoph | Zendy; Schoenrath Felix | Zendy; Stawowy Philipp | Zendy; Winkler David | Zendy; Falk Volkmar | Zendy; Potapov Evgenij | Zendy; Just Isabell Anna | Zendy

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Missing the blind spot in a HeartMate 3 LVAD outflow graft obstruction caused by fungal infection

Author(s) -

Hoermandinger Christoph,

Schoenrath Felix,

Stawowy Philipp,

Winkler David,

Falk Volkmar,

Potapov Evgenij,

Just Isabell Anna

Publication year - 2022

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 - 10.1111/aor.14075

Subject(s) - cardiogenic shock , thrombus , medicine , outflow , ventricular assist device , cardiology , inotrope , angiography , shock (circulatory) , radiology , surgery , heart failure , myocardial infarction , physics , meteorology

A patient was admitted in cardiogenic shock and a constant decrease of pump flow requiring combined inotropic support. To evaluate the cause, echocardiography and a ramp test were performed. The results suggested a LVAD related problem ‐ particularly a suspected outflow graft obstruction. Wether CT scan nor angiography confirmed the assumption. However, a post‐mortem LVAD examination revealed an outflow obstruction caused by a fungal thrombus formation invisible for standard imaging procedures.

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