scholarly journals First Successful Management of Aortic Valve Insufficiency Associated With HeartMate II Left Ventricular Assist Device Support by Transfemoral CoreValve Implantation

2012 ◽  
Vol 5 (1) ◽  
pp. 114-115 ◽  
Author(s):  
Francesco Santini ◽  
Alberto Forni ◽  
Rajesh Dandale ◽  
Flavio Ribichini ◽  
Andrea Rossi ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Left Ventricular Assist Device ◽  
Left Ventricular ◽  
Aortic Valve Insufficiency ◽  
Successful Management ◽  
Assist Device ◽  
Heartmate Ii ◽  
Ventricular Assist ◽  
Left Ventricular Assist ◽  
Valve Insufficiency

scholarly journals Management of aortic insufficiency in patients with left ventricular assist device ̶ a retrospective analysis

2018 ◽  
Author(s):  
Hartmuth B. Bittner
Keyword(s):  
Aortic Valve ◽  
Left Ventricular Assist Device ◽  
De Novo ◽  
Aortic Insufficiency ◽  
Left Ventricular ◽  
Aortic Valve Insufficiency ◽  
Assist Device ◽  
Ventricular Assist ◽  
Left Ventricular Assist ◽  
Valve Insufficiency

Background Aortic insufficiency is increasingly recognized as a complication of left ventricular assist device (LVAD) support and may lead to clinical decompensation requiring correction. This article describes experiences in managing patients presenting with concomitant aortic insufficiency and with de novo aortic insufficiency following left ventricular assist device implantations. Methods All patients undergoing LVAD implantation between 2012 and 2014 were included in this retrospective analysis if aortic valve insufficiency was present on implantation or newly developed (de novo) after implantation. Moderate to severe aortic valve insufficiency was corrected at implantation. Results The data of 39 patients were included. At the time of LVAD implantation, moderate to severe aortic valve insufficiency was present in 3 patients and was corrected by bioprosthetic valve replacement (2 patients) and by bioprosthetic valve replacement associated with ascending aorta with hemi arch replacement with a graft due to ascending aortic aneurysm (one patient). Four patients developed moderate to severe aortic insufficiency after LVAD surgery. Treatment with conservative medical management was successful in 3 patients. One patient underwent transcatheter aortic valve occlusion using an Amplatzer closure device after failure of medical management. Conclusions Concomitant aortic valve replacement with LVAD implantation is a safe and viable option in managing aortic valve insufficiency. De novo aortic insufficiency may lead to recurrent heart failure and presents a clinical treatment challenge following successful LVAD support; the most appropriate and effective treatment option awaits definition.

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