Sebastian Johannes Bauer, Yukiharu Sugimura, Moritz Benjamin Immohr, Arash Mehdiani, Artur Lichtenberg, Payam Akhyari
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Left Ventricular Assist Device Implantation with Concomitant Replacement of the Ascending Aorta.
Dilated cardiomyopathy (DCM) is one of the main causes for end-stage heart failure. Until the transplantation, left ventricular assist devices (LVAD) have become an established treatment. We report a case of a 66-year-old patient with ischemic and DCM and suspected aortic ulcer formation. LVAD was implanted in the same session with a supracoronary aortic replacement. Bilateral cannulation of the subclavian arteries omitted the need of circulatory arrest and proximal aortic cross-clamping. Pneumonia-associated decarboxylation failure prolonged the postoperative intensive care period. The patient was finally discharged home on the 115 th postoperative day.
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