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DOI: 10.1055/s-0030-1250637
© Georg Thieme Verlag KG Stuttgart · New York
Repair of Abdominal Aortic Aneurysm in Heart Transplant Patients: Before or after Left Ventricular Assist Device Implantation?
Publication History
received Sept. 27, 2010
Publication Date:
07 March 2011 (online)
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
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- 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
- 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
- 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
- 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
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