A Traumatic and Infected Left Ventricular Pseudoaneurysm 2 years After the Explantation of a Bridge-to-Recovery Left Ventricular Assist Device
Usama Aziz, Mihai Strachinaru Cardiology Department – Erasme Hospital (Université Libre de Bruxelles), Brussels, BelgiumCorrespondence: Usama Aziz, Cardiology Department, Erasme Hospital (Université Libre de Bruxelles), Route de Lennik 808, Brussels, Belgium, 1070, Email Drazizusama@gmail.comAbstrac...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2025-07-01
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| Series: | International Medical Case Reports Journal |
| Subjects: | |
| Online Access: | https://www.dovepress.com/a-traumatic-and-infected-left-ventricular-pseudoaneurysm-2-years-after-peer-reviewed-fulltext-article-IMCRJ |
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| Summary: | Usama Aziz, Mihai Strachinaru Cardiology Department – Erasme Hospital (Université Libre de Bruxelles), Brussels, BelgiumCorrespondence: Usama Aziz, Cardiology Department, Erasme Hospital (Université Libre de Bruxelles), Route de Lennik 808, Brussels, Belgium, 1070, Email Drazizusama@gmail.comAbstract: Left ventricular assist devices (LVADs) have become an important modality of treatment in advanced heart failure, serving sometimes as a bridge to recovery. A subject in his 30s with alcohol-induced dilated cardiomyopathy underwent LVAD implantation following severe cardiac dysfunction. After six years, a sufficient myocardial recovery led to successful LVAD explantation. 2 years post-explant, the patient continued high-risk lifestyle behaviors (like smoking and drinking alcohol) and eventually developed a left thoracic pseudoaneurysm due to a fall with left chest trauma. Surgical repair revealed infection, treated with targeted antibiotics. This case shows a rare echocardiographic presentation and underscores the complexities of LVAD explantation, particularly in patients continuing high-risk lifestyle behaviors. To our knowledge, an infected left ventricular pseudoaneurysm complicating LVAD explantation has not previously been reported. Thus, its management and long-term outcomes could not be assessed using evidence-based guidelines.Keywords: left ventricular assist device, explantation, complication, pseudoaneurysm |
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| ISSN: | 1179-142X |