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Volume 357:936-937 August 30, 2007 Number 9
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An Unusual Complication of Support with a Continuous-Flow Cardiac Assist Device

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To the Editor: A 61-year-old man in cardiogenic shock was recently transferred to our hospital. Angiography revealed total occlusion of the left anterior descending coronary artery and an 80% ostial stenosis of the right coronary artery. Since he had persistent pulmonary hypertension, he was not considered to be a candidate for transplantation. A HeartMate II Left Ventricular Assist System (Thoratec) was implanted for permanent hemodynamic support, and bypass grafting to the right coronary artery was performed.

On postoperative day 3, echocardiography showed that the left ventricle was poorly decompressed, with paradoxical motion of the interventricular septum. The left ventricular assist . . . [Full Text of this Article]



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