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Ann Thorac Surg 2002;74:232-234
© 2002 The Society of Thoracic Surgeons

Case report

LVAD support in patients with bioprosthetic valves

Alessandro Barbone, MDa, Vivek Rao, MD, PhDa, Mehmet C. Oz, MDa, Yoshifumi Naka, MD, PhD*a

a Department of Surgery, Columbia University, New York, New York, USA

Accepted for publication October 20, 2001.

* Address reprint requests to Dr Naka, Mechanical Circulatory Support, New York-Presbyterian Hospital, MHB 7-435, 177 Fort Washington Ave, New York, NY 10032 USA
e-mail: yn33{at}columbia.edu

The presence of mechanical or bioprosthetic valves has traditionally excluded patients from mechanical circulatory support. However, several centers have now developed algorithms for the surgical management of native or prosthetic valve disease in patients requiring left ventricular assist device insertion. We report adverse events associated with bioprosthetic valves in the mitral and tricuspid positions in 2 patients who received long-term mechanical support. We recommend anticoagulation for all patients with prosthetic valves in the mitral or tricuspid position to avoid thromboembolism, inflow conduit occlusion, or valvular incompetence.






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