Scholarlink

Background <p>After the 2021 withdrawal of the HeartWare HVAD System for pump restart failures, the HeartMate 3 became the only available left ventricular assist device for replacement.</p> Case presentation <p>A 66-year-old male with end-stage ischemic heart failure, 8 years post-HVAD implantation, was admitted with sepsis and LVAD thrombosis causing cardiogenic shock managed with VA-ECMO. Persistent thrombosis necessitated emergent surgical intervention. The HVAD was replaced with a HeartMate 3 using the ring-on-ring and glove-gasket technique under CPB via ECMO cannulas. Postoperative recovery was gradual, with significant neurological and functional improvement at 5 months.</p> Conclusions <p>The case illustrates the feasibility of emergent HVAD-to-HM3 exchange supported by VA-ECMO in a patient with cardiogenic shock after LVAD thrombosis.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Emergency HeartWare-to-HeartMate 3 exchange bridged by ECMO in the management of acute LVAD failure and cardiogenic shock

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年3月5日

查看全文
  • Maja Butrym,
  • Kacper Jaros,
  • Tomasz Hrapkowicz,
  • Michał Glanowski,
  • Agnieszka Biełka,
  • Ewa Trejnowska,
  • Andrzej Juraszek

摘要

Background

After the 2021 withdrawal of the HeartWare HVAD System for pump restart failures, the HeartMate 3 became the only available left ventricular assist device for replacement.

Case presentation

A 66-year-old male with end-stage ischemic heart failure, 8 years post-HVAD implantation, was admitted with sepsis and LVAD thrombosis causing cardiogenic shock managed with VA-ECMO. Persistent thrombosis necessitated emergent surgical intervention. The HVAD was replaced with a HeartMate 3 using the ring-on-ring and glove-gasket technique under CPB via ECMO cannulas. Postoperative recovery was gradual, with significant neurological and functional improvement at 5 months.

Conclusions

The case illustrates the feasibility of emergent HVAD-to-HM3 exchange supported by VA-ECMO in a patient with cardiogenic shock after LVAD thrombosis.