Noncardiac surgical procedures in patient supported with long-term implantable left ventricular assist device

Andrea Garatti, Giuseppe Bruschi, Tiziano Colombo, Claudio Russo, Filippo Milazzo, Emanuele Catena, Marco Lanfranconi, Ettore Vitali

Research output: Contribution to journalArticle

Abstract

Background: Left ventricular assist devices (LVADs) are increasingly used as bridges to transplantation or as destination therapy. As sicker and older patients are more frequently considered for mechanical support, general surgical problems are expected to increase in these patients. Methods: Anesthesia records and clinical charts were reviewed for 11 recipients of LVADs undergoing 12 general surgical procedures between January 1988 and March 2007. Results: Eight patients underwent major surgical procedures: 1 intracranial hematoma drainage, 1 right hemicolectomy with ileocolostomy, 1 splenectomy, 1 surgical repair of an iliac-femoral artery pseudoaneurysm, 2 cholecystectomies, 1 pyelolithotomy, and 1 coil embolization of a femoral side-branch disruption. Four patients underwent minor surgical procedures. The mean duration of LVAD support before surgery was 58.7 ± 45.6 days. All patients survived the procedures. Conclusion: Noncardiac surgery in LVAD recipients is feasible, without significant morbidity or mortality. Intraoperative coagulation management has a key role in safely performing these procedures.

Original languageEnglish
Pages (from-to)710-714
Number of pages5
JournalAmerican Journal of Surgery
Volume197
Issue number6
DOIs
Publication statusPublished - Jun 2009

Keywords

  • Abdominal surgery
  • Heart transplant
  • Left ventricular assist devices

ASJC Scopus subject areas

  • Surgery

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