Hemolysis and Pulmonary Insufficiency following Right Ventricular Assist Device Implantation

We report a case of severe hemolysis and pulmonary valve insufficiency (PI) following right ventricular support using a paracorporeal pneumatic pump (Abiomed, Danvers, MA, USA). We speculate that the high velocity jet of blood emanating from the outflow cannula caused turbulence above the pulmonary...

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Published in:Case reports in transplantation 2012-01, Vol.2012 (2012), p.1-3
Main Authors: Schubert, Sarah A., Soleimani, Behzad, Pae, Walter E.
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Language:English
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Bridges
Case Report
Mortality
Patients
Reynolds number
Shear stress
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Pae, Walter E.
description We report a case of severe hemolysis and pulmonary valve insufficiency (PI) following right ventricular support using a paracorporeal pneumatic pump (Abiomed, Danvers, MA, USA). We speculate that the high velocity jet of blood emanating from the outflow cannula caused turbulence above the pulmonary valve, leading to PI and hemolysis. Despite the growing number of implanted ventricular assist devices, we could find no report in the literature describing pulmonary valve insufficiency secondary to right ventricular assist device (RVAD) placement. Fortunately, in this case, right ventricular function recovered sufficiently after seven days of support, allowing explantation of the device and resolution of PI and hemolysis.
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source Wiley-Blackwell Open Access Collection; Publicly Available Content Database; PubMed Central
subjects Bridges
Case Report
Mortality
Patients
Reynolds number
Shear stress
title Hemolysis and Pulmonary Insufficiency following Right Ventricular Assist Device Implantation
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