Comprehensive management of severe intestinal bleeding in a patient supported for 94 days by the biventricular levitronix centrimag system

Ivan Netuka, Ondrej Szarszoi, Jiri Maly, Marek Adamira, Daniel Turek, Josef Besik, Marian Urban, Hynek Riha, Tomas Kotulak, Jan Pirk

Research output: Contribution to journalArticle

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Abstract

The use of short-term mechanical circulatory support during postcardiotomy acute heart failure provides an opportunity to stabilize the patient's hemodynamic state while determining the best long-term strategy. Because all of these devices require anticoagulation treatment of various intensities, management of major bleeding can be critical for the overall outcome of the therapy. In this regard, the newest generation of magnetically levitated centrifugal-fl ow pumps affords several potential advantages in terms of thrombogenicity and eventual discontinuation of anticoagulation treatment. We report the use of a short-term biventricular assist device (Levitronix CentriMag) for 94 days in a 55-year-old man with refractory ventricular arrhythmias after combined heart surgery. Despite serious complications while the patient was on the assist device, including severe intestinal bleeding with the necessity of discontinuing anticoagulation for 10 days and, ultimately, hemicolectomy, the circulatory support was completed with successful heart transplantation.

Original languageEnglish (US)
Pages (from-to)E409-E410
JournalHeart Surgery Forum
Volume13
Issue number6
DOIs
Publication statusPublished - Dec 1 2010

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ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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