Right Atrial Compression From Biodebris Associated With Long-Term Left Ventricular Assist Device Support

JACC: Case Reports(2022)

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Abstract
Biodebris surrounding HVAD (Medtronic) intrapericardial centrifugal-flow left ventricular assist device outflow cannulas is common and appears to accumulate over time. We recently encountered 2 patients on long-term HVAD support with right atrial compression from such biodebris, prompting a review of our institution’s HVAD cohort to better understand this phenomenon. (Level of Difficulty: Intermediate.)
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Key words
cardiomyopathy,chronic heart failure,tamponade
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