Aortic intervention guided by contrast-enhanced transoesophageal ultrasound whist waiting for cardiac transplantation: a case report.

ABSTRACT:

Background

Aortic complications can happen during left ventricular assist devices (LVADs) insertion and its treatment remains challenging. Percutaneous aortic interventions can be an alternative to surgery in such high-risk cases.

Case summary

We present a patient with idiopatic dilated cardiomyopathy and advanced heart failure requiring LVAD insertion as a bridge to transplant, who developed an aortic pseudoaneurysm below the anastomosis of the LVAD tube. He was successfully treated with percutaneous coiling under contrast-enhanced transoesophageal echocardiography (TOE) guidance, reaching destination therapy (heart transplantation) a year later.

Discussion

Left ventricular assist devices provide haemodynamic support for patients with advanced heart failure waiting f

SUBMITTER: Castro Verdes M 

PROVIDER: S-EPMC7850615 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature