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Salvatore Agati
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Ann Thorac Surg 2002;73:1628-1629
© 2002 The Society of Thoracic Surgeons


Case report

Successful intraventricular thrombolysis during ventricular assist device support

Claudio Russo, MD*b, Anna Maria De Biase, MDa, Giuseppe Bruschi, MDb, Salvatore Agati, MDb, Ettore Vitali, MDb

a department of Cardiology, Niguarda Hospital, Milan, Italy
b department of Cardiovascular Surgery, Niguarda Hospital, Milan, Italy

Accepted for publication October 10, 2001.

* Address reprint requests to Dr Russo, Department of Cardiac Surgery "A. De Gasperis," Niguarda Hospital, Piazza Ospedale Maggiore, 3, 20162 Milan, Italy
e-mail: cf.russo{at}tiscalinet.it

Different types of mechanical ventricular assist devices are available for treating end stage congestive heart failure. Despite technical improvements, however, various complications are still reported for patients during mechanical support. We report our experience with intraventricular thrombolysis as a treatment for possible thrombosis of a continuous flow device that had been implanted as a bridge to heart transplantation. This approach has been demonstrated to be both effective and safe.




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