Intermittent Aortic Insufficiency as an Aid to Diagnosing Obstruction in a HeartMate II Continuous-Flow Left Ventricular Assist Device
Sunil Pauwaa, Rashmi Raghuvir, Sudha Kurien, Antone Tatooles, P. Pappas, Geetha Bhat
Abstract
Sunil Pauwaa, Rashmi Raghuvir, Sudha Kurien, Antone Tatooles, P. Pappas, Geetha Bhat
Abstract
This report details two cases of left ventricular assist device (LVAD)-related fungal infection. In both cases, the infection occurred within the device and formed an obstruction resulting in intermittent variation in the output of the LVAD. This was manifested by a change in the pattern of aortic insufficiency (AI) from continuous to intermittent on transesophageal echocardiography. Recognition of this finding may allow for noninvasive diagnosis of LVAD flow obstruction.
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This report details two cases of left ventricular assist device (LVAD)-related fungal infection. In both cases, the infection occurred within the device and formed an obstruction resulting in intermittent variation in the output of the LVAD. This was manifested by a change in the pattern of aortic insufficiency (AI) from continuous to intermittent on transesophageal echocardiography. Recognition of this finding may allow for noninvasive diagnosis of LVAD flow obstruction.
Key concepts: Continuous flow, Ventricular assist device, Cardiology, Medicine, Internal medicine, Surgery, Heart failure, Mechanics