Management of Biventricular Assist Device Implantation in Patients with Necrotic Pancreatitis

Authors

  • Victor Gertner
  • Viktor Bordel
  • Ursel Tochtermann
  • Klaus Kallenbach
  • Markus Verch
  • Matthias Ungerer
  • Patricia Piontek
  • Rawa Arif
  • Mohammad Reza Mohammad Hasani
  • Hiroaki Takahashi
  • Mina Farag
  • Arjang Ruhparwar
  • Matthias Karck
  • Ali Ghodsizad
  • Amir Reza Mohammad Hasani

DOI:

https://doi.org/10.1532/HSF98.20101067

Abstract

This report describes the management of biventricular assist device (BIVAD) implantation in a patient with necrotic pancreatitis. BIVADs provide mechanical support for ventricular ejection in the failing heart and have become an accepted treatment for end-stage heart failure. They also have proved to be a successful bridge to heart transplantation. As their popularity has grown, the number of patients with BIVADs presenting for noncardiac surgery is increasing. We report the successful management of an implanted extracorporeal BIVAD in a patient with end-stage heart failure and with pancreatic stents in a case of necrotic pancreatitis. Historical, physical, laboratory, and imaging data allowed conservative management leading to a favorable outcome.

References

McCarthy PM, James KB, Savage R, et al. 1994. Implantable left ventricular assist device. Approaching an alternative for end-stage heart failure. Implantable LVAD Study Group. Circulation 90(pt 2):II83-6.nMcCarthy PM, Savage RM, Fraser CD, et al. 1995. Hemodynamic and physiologic changes during support with an implantable left ventricular assist device. J Thorac Cardiovasc Surg 109:409-17.nMueller XM, Tevaearai HT, Stumpe F, et al. 1999. Gastrointestinal disease following heart transplantation. World J Surg 23:650-5.nNicolosi AC, Pagel PS. 2003. Perioperative considerations in the patient with a left ventricular assist device. 2003. Anesthesiology 98:565-70.nSwanson KE, Ward EM, Wolfsen HC. Painless pancreatitis after implantation of a biventricular assistive device. Transplant Proc 35:1546-8.n

Published

2010-12-17

How to Cite

Gertner, V., Bordel, V., Tochtermann, U., Kallenbach, K., Verch, M., Ungerer, M., Piontek, P., Arif, R., Hasani, M. R. M., Takahashi, H., Farag, M., Ruhparwar, A., Karck, M., Ghodsizad, A., & Hasani, A. R. M. (2010). Management of Biventricular Assist Device Implantation in Patients with Necrotic Pancreatitis. The Heart Surgery Forum, 13(6), E413-E414. https://doi.org/10.1532/HSF98.20101067

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