Rapid Bioprosthetic Mitral Valve Failure after Temporary Left Ventricular Assist Device Support

Authors

  • Heidi B Schubmehl Department of Cardiothoracic Surgery and Division of Cardiology, NYU-Langone Medical Center, New York, New York, USA
  • Muhamed Saric Department of Cardiothoracic Surgery and Division of Cardiology, NYU-Langone Medical Center, New York, New York, USA
  • Alan F Vainrib Department of Cardiothoracic Surgery and Division of Cardiology, NYU-Langone Medical Center, New York, New York, USA
  • Mathew Williams Department of Cardiothoracic Surgery and Division of Cardiology, NYU-Langone Medical Center, New York, New York, USA
  • Leora B Balsam Department of Cardiothoracic Surgery and Division of Cardiology, NYU-Langone Medical Center, New York, New York, USA

DOI:

https://doi.org/10.1532/hsf.1861

Keywords:

mechanical circulatory support, bioprosthetic mitral valve, thrombosis, left ventricular assist device, transcatheter valve

Abstract

The technique of mechanical circulatory support or the site of cannulation may affect transvalvular flow. We describe early failure of a mitral bioprosthesis in a patient with temporary left ventricular assist device support, likely from thrombosis. Salvage with transcatheter mitral valve replacement was attempted. Temporary mechanical circulatory support strategies that maximize flow across a new bioprosthesis should be sought to avoid early valvular thrombosis.

References

Hagley MT, Lopez-Candales A, Phillips KJ, et al. 1995. Thrombosis of mitral valve bioprostheses in patients requiring circulatory assistance. Ann Thorac Surg 60:1814-16.

Kagiyama N, Okura H, Nezuo S, et al. 2014. Two cases of acute bioprosthetic mitral valve thrombosis immediately after mitral valve replacement. Circulation 129:e328-30.

Mufti HN, Elghobary T, Murray SK, et al. 2013. Mitral valve and short-term ventricular assist devices: potential mechanical complications. Thorac Cardiovasc Surg Rep 2:9-12.

Published

2017-12-12

How to Cite

Schubmehl, H. B., Saric, M., Vainrib, A. F., Williams, M., & Balsam, L. B. (2017). Rapid Bioprosthetic Mitral Valve Failure after Temporary Left Ventricular Assist Device Support. The Heart Surgery Forum, 20(6), E256-E257. https://doi.org/10.1532/hsf.1861

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