Open AccessParanormal activity: Para-Esophageal/Gastric Hemorrhage in a Patient with a HeartMate II LVAD
Author(s) -
Anna Stone,
Ashwin Ravichandran
Publication year - 2017
Publication title -
the vad journal
Language(s) - English
Resource type - Journals
ISSN - 2378-2706
DOI - 10.14434/vad.v3i0.27984
Subject(s) - medicine , resuscitation , dysphagia , ventricular assist device , regimen , chest pain , cardiology , surgery , heart failure
In this report we present an unusual case of non-traumatic, spontaneous para-esophageal/para-gastric hemorrhage requiring multiple units of red blood cells in a female patient with a continuous flow left ventricular assist device. She presented with dysphagia and atypical chest pain 18 months post implantation, on the recommended anticoagulation regimen for HeartMate II support of ASA 81mg and international normalized ratio goal (INR) of 2-3 and was successfully managed with conservation support, volume resuscitation and multiple transfusions. Non-traumatic causes of acute bleeding, including acquired platelet dysfunction are considered.