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A case of single‐incision laparoscopic surgery for acute appendicitis with left ventricular assist device
Author(s) -
Chinen Yoshinao,
Ogino Takayuki,
Fujino Shiki,
Takahashi Hidekazu,
Miyoshi Norikatsu,
Uemura Mamoru,
Yamamoto Hirofumi,
Mizushima Tsunekazu,
Doki Yuichiro,
Eguchi Hidetoshi
Publication year - 2021
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12914
Subject(s) - medicine , umbilicus (mollusc) , ventricular assist device , surgery , cardiac surgery , heart failure , cardiology
A left ventricular assist device (LVAD) is used for patients with severe heart failure. We present a case of a 35‐year‐old man who had undergone LVAD implantation 2 years ago for dilated phase of hypertrophic cardiomyopathy. He had right lower abdominal pain and was diagnosed with acute appendicitis. Single‐incision laparoscopic surgery for appendicitis was performed. We incised approximately 3 cm of the umbilicus carefully because the driveline of LVAD was passing just caudal to the umbilicus. LVAD is only available for patients waiting for cardiac transplantation in Japan, and the number of patients with LVAD has been increasing. Adequate anticoagulant therapy is necessary because device thrombosis often causes fatal complications, but during emergency cases, the surgeons have to be cautious of bleeding and injury to the driveline of LVAD.