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J Heart Lung Transplant. 2002 Mar;21(3):402-4.

Alternative approach for use of a left ventricular assist device with a thrombosed prosthetic valve.

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Division of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California, USA.


Implantation of a left ventricular assist device is problematic in patients with prosthetic heart valves, due to an increased risk of thrombosis with embolization. This report describes the use of a bovine pericardial patch to close the aortic outflow tract in a patient with a mechanical aortic valve and end-stage cardiomyopathy who required urgent left ventricular assist support. A successful outcome suggests that this technique may be of value in treating similar patients.

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