Case Reports Journal Article Epublish
PubMed: 42602449 DOI: 10.1016/j.jhlto.2026.100642
Sudden right ventricular assist device dysfunction: The role of fluoroscopic evaluation in diagnosis.
JHLT Open 14:100642
Authors: Salem T Argaw, Thibaut Genty, Pierre Denormandie, Martin Kloeckner, Elodie Mennelet, Benoit Gerardin, Philippe Brenot, Julien Guihaire
Affiliations
- Adult Cardiac Surgery and Transplantation, Marie Lannelongue Hospital, Groupe Hospitalier Paris Saint Joseph, Le Plessis Robinson, France.
- Adult Intensive Care Unit, Marie Lannelongue Hospital, Groupe Hospitalier Paris Saint Joseph, Le Plessis Robinson, France.
- Department of Adult Cardiac Disease, Marie Lannelongue Hospital, Groupe Hospitalier Paris Saint Joseph, Le Plessis Robinson, France.
- Interventional Radiology, Marie Lannelongue Hospital Groupe Hospitalier Paris Saint Joseph, Le Plessis Robinson, France.
- Inserm UMR_S1358, Medical School, University of Paris Saclay, Le Kremlin Bicêtre, France.
Abstract
RVAD thrombosis is a well-described complication that requires a high index of suspicion, as it can precipitate irreversible hemodynamic collapse. Here, we present a case of a 51-year-old man with end-stage heart failure who was placed on biventricular support using 2 HeartMate 3 devices. The patient's postoperative course was complicated by sudden RVAD flow cessation suspicious for inflow obstruction due to pump thrombosis or transient anatomic inflow occlusion. As the patient remained hemodynamically stable, the decision was made to proceed to the catheterization laboratory for fluoroscopic evaluation using a novel catheter-based approach. In addition to providing diagnostic information, this technique offered the potential for immediate thrombectomy if thrombotic obstruction of the RVAD was confirmed.
MeSH
Diagnosis, Thrombosis, Hemodynamics, Catheters