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Is a Bioprosthetic Valve in the Aortic Position Desirable with a Continuous Flow LVAD?
Author(s) -
Doi Atsuo,
Marasco Silvana F.,
McGiffin David C.
Publication year - 2015
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.12541
Subject(s) - medicine , cardiology , continuous flow , aortic valve , position (finance) , aortic valve insufficiency , flow (mathematics) , mechanics , physics , finance , economics
Commissural fusion of the native aortic valve in a patient with a continuous flow left ventricular assist device (LVAD) is a known phenomenon. This may result in aortic insufficiency (AI) leading to symptomatic heart failure. In patients with AI at the time of LVAD implantation, repairing, or replacing the aortic valve is advisable. We describe a patient who had a severe dilated cardiomyopathy and moderate AI who underwent implantation of an LVAD and aortic valve replacement with a bioprosthesis that subsequently developed commissural fusion which was found at the time of heart transplantation. This case highlights the conundrum of the management of AI in patients requiring LVAD support. doi: 10.1111/jocs.12541 (J Card Surg 2015;30:466–468)