AI Article Synopsis
- LVAD use is rising for severe heart failure patients either as a bridge to transplant or as a long-term solution, but it complicates noncardiac surgeries.
- A 40-year-old woman with LVAD due to idiopathic cardiomyopathy successfully underwent left partial nephrectomy for renal cancer after failed biopsies.
- The surgery had no issues thanks to a multidisciplinary team's careful management, and the case is notable as it's the first documented partial nephrectomy in an LVAD patient.
Article Abstract
Left ventricular assist device (LVAD) use has increased as a bridge to heart transplant as well as destination therapy in patients with severe heart failure. Presence of LVAD is not a contraindication to noncardiac surgery but does present special challenges to the surgical, anesthesia, and cardiac teams. We present the case of a 40-year-old woman with idiopathic cardiomyopathy necessitating LVAD who underwent left partial nephrectomy for a renal mass. She had undergone three nondiagnostic percutaneous image-guided biopsies. Left partial nephrectomy was performed. Perioperative care was without incident due to careful oversight by a multidisciplinary team. Pathology revealed high-grade clear cell renal cell carcinoma (RCC) with negative margins. Polytetrafluoroethylene (PTFE) bolsters were misidentified six months postoperatively on computed tomography (CT) at an outside institution as a retained laparotomy sponge. This is, to our knowledge, the first report of a partial nephrectomy performed in a patient with LVAD.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3350215 | PMC |
| http://dx.doi.org/10.1155/2011/526903 | DOI Listing |
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