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Termedia Publishing, Kardiochirurgia i Torakochirurgia Polska, (4), p. 428-431

DOI: 10.5114/kitp.2014.47346

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Successful repeated thrombolysis in a patient with HeartWare thrombosis – the importance of Doppler flow pattern

Journal article published in 2014 by Lech Paluszkiewicz, Michiel Morshuis, Kavous Hakim-Meibodi, Stephan Ensminger ORCID, Jan Gummert
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Here we present a patient after implantation of a left ventricular assist device (HeartWare) for destination therapy complicated by recurrent thrombosis of the device. At 14 months after implantation, the patient presented with a pump thrombosis after an INR incompliance period. A surgical pump exchange was performed and the patient recovered uneventfully. Five months later a pump thrombosis occurred again, and the patient refused surgery. Systemic thrombolysis was carried out this time. Three and 6 months later the same clinical picture was presented again, and repeat thrombolysis was performed successfully. The patient was discharged and has remained stable since, without any symptoms of thrombosis of the device.