The 'inextricabilis syndrome': A case with no solution

Tigran Khachatryan, Roy Beigel, Reza Arsanjani, Robert J. Siegel*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


We describe a case of a 58-year-old man with cardiogenic shock who underwent triple vessel coronary artery bypass and a left ventricular assist device (LVAD) implantation. His course was complicated by stroke, worsening mitral regurgitation, aortic regurgitation, and multiple cardiac thrombi while on the device. We provide the details of the patient's hospital course, management, and echocardiographic findings.We also discuss the utility of echocardiography before LVAD insertion and its role for continued monitoring after insertion.

Original languageEnglish
Pages (from-to)K15-K16
JournalEcho Research and Practice
Issue number2
StatePublished - 1 Dec 2014
Externally publishedYes


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