Giant arteriovenous fistula after implantation of a percutaneous left ventricular assist device

Vasa. 2009 May;38(2):190-2. doi: 10.1024/0301-1526.38.2.190.

Abstract

Percutaneous left ventricular assist devices are an important tool in the management of patients with severe cardiogenic shock. Limited experiences concerning vascular complications after long term implantation of these devices exist. We report on a large arteriovenous fistula after placement of a left ventricular assist device, which has not been described in the literature. The arteriovenous fistula was of clinical relevance because it represented a supplementary cardiac burden in a patient with impaired left ventricular function after a severe myocardial infarction.

Publication types

  • Case Reports

MeSH terms

  • Angioplasty, Balloon, Coronary
  • Arteriovenous Fistula / diagnostic imaging
  • Arteriovenous Fistula / surgery*
  • Blood Flow Velocity / physiology
  • Device Removal
  • Female
  • Femoral Artery / diagnostic imaging
  • Femoral Artery / surgery*
  • Groin / blood supply*
  • Heart-Assist Devices*
  • Humans
  • Middle Aged
  • Minimally Invasive Surgical Procedures / methods*
  • Myocardial Infarction / therapy
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / surgery*
  • Reoperation
  • Shock, Cardiogenic / diagnostic imaging
  • Shock, Cardiogenic / surgery*
  • Stents
  • Ultrasonography, Doppler, Duplex
  • Veins / diagnostic imaging
  • Veins / surgery