Abstract

Implantation of a temporary percutaneous right ventricular assist device (RVAD) in patients with right heart failure after left ventricular assist device (LVAD) implantation is an established technique that may cause complications. We present a 60-year-old male patient who underwent urgent LVAD implantation. On the second postoperative day the patient developed acute right heart failure. We implanted a temporary percutaneous RVAD with two cannulas via the right internal jugular vein and the right femoral vein. Transesophageal echocardiography revealed severe pulmonary insufficiency. After performing re-sternotomy we anastomosed a prosthetic graft to the pulmonary trunk (PT), performed subxiphoid tunneling of the graft and replaced the transjugular outflow cannula. The pulmonary regurgitation caused by the percutaneous transvalvular cannula disappeared. In such case a direct anastomosis to the PT is the solution.

Details

Title
Severe pulmonary valve insufficiency caused by transjugular cannulation of pulmonary artery for right ventricular assist device: diagnosis and surgical solution—a case report
Author
Wert, Leonhard 1   VIAFID ORCID Logo  ; Lanmüller, Pia 1 ; Ott, Sascha 2 ; Mulzer, Johanna 1 ; Starck, Christoph T 1 ; Falk, Volkmar 1 ; Potapov, Evgenij V 1 

1  Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité , Augustenburger Platz 1, 13353 Berlin , Germany 
2  Department of Cardiac Anesthesiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité , Augustenburger Platz 1, 13353 Berlin , Germany 
Publication year
2023
Publication date
Jul 2023
Publisher
Oxford University Press
e-ISSN
20428812
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1093/jscr/rjad389
ProQuest document ID
3170755037
Copyright
Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.