Author + information
- Received November 19, 2010
- Accepted November 23, 2010
- Published online September 27, 2011.
- Lech Paluszkiewicz, MD,
- Sebastian Schulte-Eistrup, MD,
- Jan Gummert, MD, PhD and
- Heinrich Koertke, MD, PhD
We present a case of a 64-year-old male patient 18 months after implantation of a DuraHeart left ventricular assist device (TerumoHeart, Inc. Ann Arbor, Michigan). During a routine echocardiographic examination, a complete displacement of the inflow cannula into a periventricular hypoechogenic blood reservoir was found. In apical views, a large hypoechogenic space compressing the left ventricle was found (A and B, Online Videos 1 and 2). The inflow cannula was not detectable in the left ventricle. Continuous wave Doppler examination revealed a bidirectional flow through a left ventricular apical dehiscence (C). Interestingly, the flow through the device remained normal (D) with an uncompromised clinical status. The technical control of the device showed no disturbances (1). White arrows show the border of the haematoma. Red arrows show the left ventricle wall dehisciency at site of the inflow cannula implantation in the apex of the left ventricle. The dashed arrow shows the displaced inflow cannula.
- Received November 19, 2010.
- Accepted November 23, 2010.
- American College of Cardiology Foundation