Acute Pump Thrombosis in the Early Postoperative Period After HeartMate 3 Implantation

Jeroen J H Bunge; Corstiaan A den Uil; Alina C Constantinescu; Ricardo P J Budde; Alexander P W M Maat; Kadir Caliskan

doi:10.1097/MAT.0000000000000932

Acute Pump Thrombosis in the Early Postoperative Period After HeartMate 3 Implantation

ASAIO J. 2019 Sep/Oct;65(7):e72-e74. doi: 10.1097/MAT.0000000000000932.

Authors

Jeroen J H Bunge^{1

2}, Corstiaan A den Uil^{1

2}, Alina C Constantinescu¹, Ricardo P J Budde³, Alexander P W M Maat⁴, Kadir Caliskan¹

Affiliations

¹ From the Department of Cardiology, Erasmus MC, Rotterdam, The Netherlands.
² Department of Intensive Care Adults, Erasmus MC, Rotterdam, The Netherlands.
³ Department of Radiology, Erasmus MC, Rotterdam, The Netherlands.
⁴ Department of Cardiothoracic surgery, Erasmus MC, Rotterdam, The Netherlands.

PMID: 30681438
DOI: 10.1097/MAT.0000000000000932

Abstract

There are no reports of acute pump thrombosis in the latest, continuous flow left ventricular assist devices type HeartMate 3, other than thrombus ingestion. We present a case of early thrombosis of the pump and outflow graft, necessitating acute pump and outflow graft replacement. A combination of low-flow episodes and subtherapeutic levels of anticoagulation was the most likely cause.

Publication types

Case Reports

MeSH terms

Acute Disease
Adult
Anticoagulants / adverse effects
Heart Failure / therapy*
Heart-Assist Devices / adverse effects*
Humans
Male
Postoperative Period
Thrombosis / etiology*

Substances

Anticoagulants