Combined mechanical circulatory support for ventricular fibrillation in left ventricular assist device patient

Mahmood Abu Akel*, Aviv A. Shaul, Gustavo R. Goldenberg, Yaron D. Barac, Binyamin Ben-Avraham, Dan Gorfil, Dan Aravot, Tuvia Ben-Gal

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Ventricular fibrillation, a life-threatening ventricular arrhythmia, may result in pulselessness, loss of consciousness and sudden cardiac death. In this case report, we describe our experience in managing a 54-year-old man with HeartMate3 left ventricular assist device (LVAD) as a bridge to transplantation due to dilated non-ischemic cardiomyopathy, presenting with incessant ventricular arrhythmia for 35 days despite multiple attempts to restore normal rhythm with external direct current cardioversion and anti-arrhythmic medications. The patient remained stable in ventricular arrhythmia with no progression to asystole, but hemodynamic collapse due to right heart failure occurred in the third week. Combined use of two mechanical circulatory support devices (LVAD with VA ECMO) was needed to achieve haemodynamic and metabolic stability, eventually leading to successful heart transplantation in the index admission. The patient was discharged home 2 weeks after transplantation in good clinical condition.

Original languageEnglish
Pages (from-to)3593-3596
Number of pages4
JournalESC heart failure
Volume9
Issue number5
DOIs
StatePublished - Oct 2022

Keywords

  • Case report
  • Combined ECMO and LVAD
  • Heart transplantation post ECMO and LVAD
  • Ventricular arrhythmia in LVAD

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