The presence of an abdominal aortic aneurysm (AAA) can be a contraindication to placement
of a HeartMate left ventricular assist device (LVAD) for end-stage heart failure.
We describe a 65-year-old patient who underwent endovascular repair of an AAA before
placement of a LVAD as destination therapy for end-stage heart failure. This case
is the first report of endovascular AAA repair before VAD placement. It not only demonstrates
the utility of endovascular AAA repair in patients with undue co-morbidities, but
also that the presence of an AAA should not be a contraindication to LVAD placement,
if corrected.
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References
- Left ventricular assist device as destination for patients undergoing intravenous inotropic therapy.Circulation. 2004; 110: 975-981
- Abdominal aortic aneurysm rupture rates.J Vasc Surg. 1998; 28: 124-128
- A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms.N Engl J Med. 2004; 351: 1607-1618
- Abdominal aortic aneurysms after heart transplantation.J Heart Lung Transplant. 2004; 23: 171-177
- Left ventricular assist devices as destination therapy.J Thorac Cardiovasc Surg. 2005; 129: 9-17
- Outcome after endovascular abdominal aortic aneurysm repair.J Endovasc Ther. 2002; 9: 82-89
Article info
Publication history
Published online: January 06, 2006
Accepted:
August 29,
2005
Received in revised form:
August 18,
2005
Received:
April 22,
2005
Identification
Copyright
© 2006 International Society for Heart and Lung Transplantation. Published by Elsevier Inc. All rights reserved.
