Work

Implantation of a Left Ventricular Assist Device With Concomitant Repair of Ascending Aortic Aneurysm

Year: 2025

Type: article

Abstract: BACKGROUND: Left ventricular assist device (LVAD) placement with concomitant cardiac procedures carries a similar procedural risk to isolated LVAD implantation. However, due to low rates of occurrence, data on concomitant procedural outcomes for patients with both ascending aortic aneurysms and end-stage heart failure requiring mechanical circulatory support are limited. CASE SUMMARY: We describe the successful concomitant treatment of aortic and left ventricular disease in a 62-year-old man who presented with acute-on-chronic congestive heart failure. DISCUSSION: Although surgical intervention is currently only recommended for aneurysms at 5.0 cm, in this case, the decision for concomitant aneurysm resection was based on the thin-walled nature of the aorta, concern about wall shear stresses, and potential acceleration of aneurysm growth with an LVAD in place. TAKE-HOME MESSAGE: This case demonstrates the feasibility of addressing both the short- and long-term issues of aortic aneurysm growth and heart failure disease with an acceptable level of risk.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.106143

Authors: Tanisha Rajah, David Blitzer, John Morton, Hannah Copeland

Institutions: University of Birmingham, Columbia University Irving Medical Center, Indiana University Fort Wayne, Indiana University School of Medicine

Language: English

Topic: Mechanical Circulatory Support Devices

Subfield: Biomedical Engineering

Field: Engineering

Domain: Physical Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850