Download PDF
Thorac Cardiovasc Surg 2011; 59(2): 119-120
DOI: 10.1055/s-0030-1250637
Special Reports

© Georg Thieme Verlag KG Stuttgart · New York

Repair of Abdominal Aortic Aneurysm in Heart Transplant Patients: Before or after Left Ventricular Assist Device Implantation?

G. S. Mehta1 , C. M. Bhamidipati1 , D. J. LaPar1 , G. Ailawadi1 , J. A. Kern1
  • 1Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Virginia, Charlottesville, Virginia, United States
Further Information

Publication History

received Sept. 27, 2010

Publication Date:
07 March 2011 (online)

    Permissions and Reprints All articles of this category

Abstract

Endovascular abdominal aortic aneurysm repair in decompensated heart failure patients requiring ventricular assist device (VAD) placement needs careful consideration of both complex disease states. We present this clinical dilemma and describe our choice of transcatheter aneurysm repair in the face of advanced refractory heart failure following VAD implantation.

Key words

aneurysm - aorta/aortic - circulatory assist devices (IABP - LVAD - RVAD - BVAD - TAH) - endovascular procedures/stents - except PCI - heart failure - heart transplantation

References

  • 1 Garatti A, Bruschi G, Colombo T et al. Noncardiac surgical procedures in patient supported with long-term implantable left ventricular assist device.  Am J Surg. 2009;  197 (6) 710-714
    CrossrefPubMedGoogle Scholar
  • 2 Allen J G, Weiss E S, Schaffer J M et al. Quality of life and functional status in patients surviving 12 months after left ventricular assist device implantation.  J Heart Lung Transplant. 2010;  29 (3) 278-285
    CrossrefPubMedGoogle Scholar
  • 3 Vantrimpont P J, van Dalen B M, van Riemsdijk-van Overbeeke I C, Maat A P, Balk A H. Abdominal aortic aneurysms after heart transplantation.  J Heart Lung Transplant. 2004;  23 (2) 171-177
    CrossrefPubMedGoogle Scholar
  • 4 Englesbe M J, Wu A H, Clowes A W, Zierler R E. The prevalence and natural history of aortic aneurysms in heart and abdominal organ transplant patients.  J Vasc Surg. 2003;  37 (1) 27-31
    CrossrefPubMedGoogle Scholar
  • 5 Krishnamani R, DeNofrio D, Konstam M A. Emerging ventricular assist devices for long-term cardiac support.  Nat Rev Cardiol. 2010;  7 (2) 71-76
    CrossrefPubMedGoogle Scholar

John A. Kern, MD, Associate Professor of Surgery

Division of Thoracic and Cardiovascular Surgery
Department of Surgery
University of Virginia Health System

P. O. Box 800679

Charlottesville, VA 22908

USA

Phone: +1 43 49 82 43 01

Fax: +1 43 42 43 57 81

Email: jkern@virginia.edu

      >