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Successful management of COVID‐19 and associated coagulopathy in a patient with durable left ventricular assist device
Author(s) -
Hodges Kevin,
Mubashir Mujtaba,
Insler Joshua,
Estep Jerry,
Hsich Eileen,
Tong Michael,
Insler Steven,
Soltesz Edward
Publication year - 2020
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.14937
Subject(s) - medicine , covid-19 , coagulopathy , cardiology , intensive care medicine , left behind , virology , disease , outbreak , infectious disease (medical specialty) , psychiatry , mental health
Patients with durable left ventricular assist devices pose special problems for management in the setting of COVID‐19 infection. We describe the successful management of a 44‐year‐old man with severe COVID‐19 infection and HeartMate 3 left ventricular assist device. His course was complicated by cytokine storm and COVID‐19‐associated coagulopathy. We describe our institutional protocol for managing COVID‐19 infection in patients on mechanical circulatory support, focusing on the need for a thoughtful, multidisciplinary approach.