Mechanically induced ventricular tachycardia by the HeartWare ventricular assist device

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Mechanically induced ventricular tachycardia by the HeartWare ventricular assist device. / Yildirim, Yalin; Pecha, Simon; Reichenspurner, Hermann; Deuse, Tobias.

In: ASAIO J, Vol. 60, No. 1, 26.11.2013, p. 124-6.

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@article{2f2bbcf1863e47148b8d47c4ee077264,
title = "Mechanically induced ventricular tachycardia by the HeartWare ventricular assist device",
abstract = "Fulminant myocarditis can lead to acute left ventricular dilatation and cardiogenic shock from heart failure. If hemodynamic stabilization cannot be achieved with maximized medical therapy, mechanical circulatory support becomes necessary. We here report on a 40-year-old patient who underwent emergent left ventricular assist device (LVAD) implantation (HVAD, HeartWare) in cardiogenic shock level 1 (Interagency Registry for Mechanically Assisted Circulatory Support). He quickly recovered and was fully active during follow-up. After 6 months, he first noticed palpitations and experienced episodes of dizziness, which were found to be caused by recurrent ventricular tachycardias. Echocardiography demonstrated a markedly remodeled and downsized left ventricle with improved function. A mechanical irritation of the HVAD inflow touching the inferior-posterior wall was found to trigger these focal arrhythmias. The HVAD was explanted, and no further arrhythmias occurred. ",
keywords = "Adult, Heart-Assist Devices/adverse effects, Humans, Male, Myocarditis/surgery, Reoperation, Shock, Cardiogenic/surgery, Tachycardia, Ventricular/etiology",
author = "Yalin Yildirim and Simon Pecha and Hermann Reichenspurner and Tobias Deuse",
year = "2013",
month = nov,
day = "26",
doi = "10.1097/MAT.0000000000000019",
language = "English",
volume = "60",
pages = "124--6",
journal = "ASAIO J",
issn = "1058-2916",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

RIS

TY - JOUR

T1 - Mechanically induced ventricular tachycardia by the HeartWare ventricular assist device

AU - Yildirim, Yalin

AU - Pecha, Simon

AU - Reichenspurner, Hermann

AU - Deuse, Tobias

PY - 2013/11/26

Y1 - 2013/11/26

N2 - Fulminant myocarditis can lead to acute left ventricular dilatation and cardiogenic shock from heart failure. If hemodynamic stabilization cannot be achieved with maximized medical therapy, mechanical circulatory support becomes necessary. We here report on a 40-year-old patient who underwent emergent left ventricular assist device (LVAD) implantation (HVAD, HeartWare) in cardiogenic shock level 1 (Interagency Registry for Mechanically Assisted Circulatory Support). He quickly recovered and was fully active during follow-up. After 6 months, he first noticed palpitations and experienced episodes of dizziness, which were found to be caused by recurrent ventricular tachycardias. Echocardiography demonstrated a markedly remodeled and downsized left ventricle with improved function. A mechanical irritation of the HVAD inflow touching the inferior-posterior wall was found to trigger these focal arrhythmias. The HVAD was explanted, and no further arrhythmias occurred.

AB - Fulminant myocarditis can lead to acute left ventricular dilatation and cardiogenic shock from heart failure. If hemodynamic stabilization cannot be achieved with maximized medical therapy, mechanical circulatory support becomes necessary. We here report on a 40-year-old patient who underwent emergent left ventricular assist device (LVAD) implantation (HVAD, HeartWare) in cardiogenic shock level 1 (Interagency Registry for Mechanically Assisted Circulatory Support). He quickly recovered and was fully active during follow-up. After 6 months, he first noticed palpitations and experienced episodes of dizziness, which were found to be caused by recurrent ventricular tachycardias. Echocardiography demonstrated a markedly remodeled and downsized left ventricle with improved function. A mechanical irritation of the HVAD inflow touching the inferior-posterior wall was found to trigger these focal arrhythmias. The HVAD was explanted, and no further arrhythmias occurred.

KW - Adult

KW - Heart-Assist Devices/adverse effects

KW - Humans

KW - Male

KW - Myocarditis/surgery

KW - Reoperation

KW - Shock, Cardiogenic/surgery

KW - Tachycardia, Ventricular/etiology

U2 - 10.1097/MAT.0000000000000019

DO - 10.1097/MAT.0000000000000019

M3 - SCORING: Journal article

C2 - 24270235

VL - 60

SP - 124

EP - 126

JO - ASAIO J

JF - ASAIO J

SN - 1058-2916

IS - 1

ER -