The Challenges to Abdominal and Cardiac Surgeons: Emergency Splenectomy after LVAD Implantation—A Case Report

Authors

  • Dusko Terzic Clinic for Cardiac Surgery, Clinical Center of Serbia, Belgrade, Serbia
  • Emilija Nestorovic Clinic for Cardiac Surgery, Clinical Center of Serbia, Belgrade, Serbia
  • Miljan Ceranic Clinic for Digestive Surgery, Clinical Center of Serbia, Belgrade, Serbia; University of Belgrade Faculty of Medicine, Belgrade, Serbia
  • Aleksandar Mikic Clinic for Cardiac Surgery, Clinical Center of Serbia, Belgrade, Serbia; University of Belgrade Faculty of Medicine, Belgrade, Serbia
  • Vladimir Milicevic Clinic for Cardiac Surgery, Clinical Center of Serbia, Belgrade, Serbia
  • Svetozar Putnik Clinic for Cardiac Surgery, Clinical Center of Serbia, Belgrade, Serbia; University of Belgrade Faculty of Medicine, Belgrade, Serbia

DOI:

https://doi.org/10.1532/hsf.2107

Abstract

The paper presents collaboration of an abdominal surgeon and heart team in deciding upon surgical management of a patient with the implanted left ventricular assist device, who has undergone emergency abdominal operation for spleen rupture. The paper focuses on the significance of prompt diagnostics, clinical challenges of hemodynamic and anticoagulant treatment, abdominal organ exposure along the placed left ventricular assist device driveline, identification of vascular structures in conditions of continuous blood flow, and reconstruction of the surgical wound in the driveline projection.

References

Takeda K, Takayama H, Kalesan B, et al. 2014. Long-term outcome of patients on continuous-flow left ventricularassist device support. J Thorac Cardiovasc Surg148:1606-14.

Slaughter MS, Rogers JG, Milano CA, et al. 2009. Advanced heart failure treated with continuous-flow left ventricular assist device. N Engl J Med361:2241-51.

Nakamura Y, Toda K, Nakamura T, et al. 2017. Curative surgery for gastric cancer in a patient with an implantable left ventricular assist device. J Artif Organs20:170-3.

Mejia JC, Dong M, Ojogho O. 2017. Pancreaticoduodenectomy in a patient with previous left ventricular assist device: a case report with specific emphasis on peri-operative logistics.J Surg Case Rep2017:rjx053.

Trachtenberg BH, Cordero-Reyes A, Elias B, Loebe M.2015. A review of infections in patients with left ventricular assist devices: prevention, diagnosis and management. Methodist Debakey Cardiovasc J11:28-32.

Published

2019-01-30

How to Cite

Terzic, D., Nestorovic, E., Ceranic, M., Mikic, A., Milicevic, V., & Putnik, S. (2019). The Challenges to Abdominal and Cardiac Surgeons: Emergency Splenectomy after LVAD Implantation—A Case Report. The Heart Surgery Forum, 22(1), E024-E026. https://doi.org/10.1532/hsf.2107

Issue

Vol. 22 No. 1 (2019)

Section

Article
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