“Burnt out” dilated hypertrophic cardiomyopathy causing acute LVAD thrombosis

Key Clinical Message Case report illustrates obstruction encountered in a patient with end‐stage dilated hypertrophic cardiomyopathy (HCM) who underwent LVAD implantation. The morphology reversed in early postoperative period to HCM. Pump replacement required coring of the ventricular muscle. Dilate...

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Bibliographic Details
Published in:Clinical case reports 2015-06, Vol.3 (6), p.376-378
Main Authors: Sivathasan, Cumaraswamy, Tan, Teing E. E., Sim, David, Kerk, Ka Lee
Format: Article
Language:English
Subjects:
Cardiomyopathy
Case Reports
Dilated hypertrophic cardiomyopathy
Electrocardiography
Family medical history
Heart failure
Hypertension
hypertrophic cardiomyopathy
left ventricular assist device
Morphology
Pulmonary arteries
pump obstruction
pump thtombosis
Surgical apparatus & instruments
Thrombosis
Transplants & implants
Ultrasonic imaging
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Summary:Key Clinical Message Case report illustrates obstruction encountered in a patient with end‐stage dilated hypertrophic cardiomyopathy (HCM) who underwent LVAD implantation. The morphology reversed in early postoperative period to HCM. Pump replacement required coring of the ventricular muscle. Dilated end‐stage hypertrophic cardiomyopathy can revert back to the original morphology on decompression. Case report illustrates obstruction encountered in a patient with end‐stage dilated hypertrophic cardiomyopathy (HCM) who underwent LVAD implantation. The morphology reversed in the early postoperative period to HCM. Pump replacement required coring of the ventricular muscle. Dilated end‐stage hypertrophic cardiomyopathy can revert back to the original morphology on decompression.
ISSN:2050-0904
2050-0904
DOI:10.1002/ccr3.237