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Ann Thorac Surg 2006;81:e6-e8
© 2006 The Society of Thoracic Surgeons

Case report

Native Aortic Valve Insufficiency in Patients With Left Ventricular Assist Devices

Ayesha S. Bryant, MSPH a , William L. Holman, MD a , * , Navin C. Nanda, MD b , Srinivas Vengala, MD b , Margaret S. Blood, RN c , Salpy V. Pamboukian, MD b , James K. Kirklin, MD a

a Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA
b Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA
c Department of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA

Accepted for publication August 29, 2005.

* Address correspondence to Dr Holman, Department of Surgery, Room 719, 703 19th St S, Birmingham, AL 35294-0007 (Email: wholman{at}its.uab.edu).

Management of mild to moderate aortic insufficiency in patients with a left ventricular assist device remains controversial. We report 3 patients with aortic insufficiency and pulsatile left ventricular assist devices treated with a central aortic valve coapting suture. Two of the repairs have been durable for more than 1 year and aspirin appears to be sufficient anticoagulation.




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