The diagnosis of left ventricular assist device thrombosis

被引：0
|
作者：
H.Z.R. Gerds
J. Brügemann
M. Rienstra
M.E. Erasmus
机构：
[1] Thorax Center UMC Groningen,
来源：
Netherlands Heart Journal | 2015年 / 23卷
关键词：
Left ventricular assist device; Heart transplantation; Pump thrombosis;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
The clinical course of a patient with a left ventricular assist device is described. A total of 6 weeks after device insertion, the lactate dehydrogenase (LDH) level increased to 2801 U/l despite adding low-molecular-weight heparin to acenocoumarol and aspirin. Pump thrombosis was suspected but unconfirmed by computed tomography. Increased pump power requirement did not occur. Instituting unfractionated heparin caused a drop in the LDH level. After discontinuing heparin, the LDH levels rose to 5529 U/l whereupon pump replacement was performed. LDH levels, combined with clinical deterioration and right heart catheterisation, led to the diagnosis of pump thrombosis.
引用
收藏
页码：389 / 391
页数：2
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