Case report: incessant ventricular fibrillation in a conscious left ventricular assist device patient.

ABSTRACT:

Background

Ventricular arrhythmia in left ventricular assist device (LVAD) recipients represents a challenging clinical scenario and the optimal treatment strategy in this unique patient population still needs to be defined.

Case summary

We report on a 61-year-old LVAD patient with incessant ventricular fibrillation (VF) despite multiple unsuccessful attempts to restore normal rhythm with external defibrillation and antiarrhythmic medication. He remained initially stable as an outpatient and subsequently developed secondary organ failure.

Discussion

This case demonstrates that under LVAD support long-term haemodynamic stability is possible even in case of VF, a situation that resembles Fontan circulation. However, ventricular arrhythmias are associated with a high ris

SUBMITTER: Jakstaite AM 

PROVIDER: S-EPMC8453423 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature