Unai S, Hirose H, III JWCE, Samuels LE. Resolution of hemolysis from pump thrombus during left ventricular assist device exchange.
World J Clin Cases 2014;
2:373-376. [PMID:
25133150 PMCID:
PMC4133429 DOI:
10.12998/wjcc.v2.i8.373]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2014] [Revised: 05/20/2014] [Accepted: 06/10/2014] [Indexed: 02/05/2023] Open
Abstract
A 50-year-old male who underwent a HeartMate II left ventricular assist device placement for ischemic cardiomyopathy presented with discolored urine and hemolysis 3 mo after the operation. His hemolysis was thought to be due to thrombosis within the pump. Imaging studies were not able to visualize a left ventricular thrombus. Medical management with anticoagulation failed and he underwent surgery for a pump exchange. Intraoperatively, a firm thrombus was found within the pump of the HeartMate II, and the color of the urine changed dramatically from cola-colored to yellow which enabled us to confirm the diagnosis.
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