Navin K. Kapur, MD, Jenica Upshaw, MD, Michael S

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Presentation transcript:

Left ventricular assist device thrombosis presenting as an acute coronary syndrome Navin K. Kapur, MD, Jenica Upshaw, MD, Michael S. Kiernan, MD, Duc Thinh Pham, MD The Journal of Thoracic and Cardiovascular Surgery Volume 147, Issue 6, Pages e72-e73 (June 2014) DOI: 10.1016/j.jtcvs.2014.02.037 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Intracavitary left ventricular (LV) assist device thrombolysis. A, Radial artery access with a 6F pigtail catheter in the left ventricle and a 3-way stopcock for intermittent left ventricular hemodynamic monitoring with a fluid-filled manometer during thrombolytic infusion. B, Left ventricular pressures at baseline and during thrombolytic infusion, showing a gradual reduction in both left ventricular systolic and diastolic pressures (shown as systolic/diastolic, end-diastolic pressure). C, Left ventricular hemodynamic tracings before and after alteplase (tPA) infusion, followed by a pullback sequence from the left ventricle to the aorta, showing a step up in systolic and diastolic pressures and suggesting improved left ventricular unloading by the left ventricular assist device. The Journal of Thoracic and Cardiovascular Surgery 2014 147, e72-e73DOI: (10.1016/j.jtcvs.2014.02.037) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Serum lactate dehydrogenase (LDH) levels before and after intracavitary thrombolysis. The Journal of Thoracic and Cardiovascular Surgery 2014 147, e72-e73DOI: (10.1016/j.jtcvs.2014.02.037) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions