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A step-by-step problem-solving strategy in a patient with heart failure and cerebral aneurysm.

08:00 EDT 29th August 2019 | BioPortfolio

Summary of "A step-by-step problem-solving strategy in a patient with heart failure and cerebral aneurysm."

Left ventricular assist devices (LVAD) implantation is an established treatment for patients with end-stage heart failure. HeartMate 3 (HM3) is a continuous-flow centrifugal pump, recently introduced in the clinic, which has shown greater hemocompatibility compared to similar devices of previous generations. Nevertheless, anticoagulation is still required after HM3 implant to avoid pump dysfunction. Hereafter, we describe the case of a patient candidate to LVAD implantation for end-stage heart failure presenting a concomitant cerebrovascular lesion, accidentally found during pre-operative assessment, which would have contraindicated the procedure (for the prohibitive risk of cerebral hemorrhage), unless a step by step problem-solving approach was adopted.

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This article was published in the following journal.

Name: The Annals of thoracic surgery
ISSN: 1552-6259
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