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Intermittent Papillary Muscle Suction: A Rare Cause of Left Ventricular Assist Device Low Flow.


ABSTRACT: Low flow alarms represent a management challenge in patients with left ventricular assist devices because they are often a consequence of complex patient-device interactions. We present a case of intermittent suction of the postero-medial papillary muscle into the left ventricular assist device inflow cannula during diastole, causing low flows. This case highlights the importance of a systematic approach and use of multiple investigation modalities in making an accurate diagnosis. (Level of Difficulty: Advanced.).

SUBMITTER: Deveza RC 

PROVIDER: S-EPMC8571786 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature

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Intermittent Papillary Muscle Suction: A Rare Cause of Left Ventricular Assist Device Low Flow.

Deveza Ricardo C RC   Doyle Mathew P MP   Schnegg Bruno B   Pearman Madeleine M   Emmanuel Sam S   Goh Siew Sc SS   Robson Desiree D   Muthiah Kavitha K   Watson Alasdair A   Hayward Christopher S CS  

JACC. Case reports 20211103 15


Low flow alarms represent a management challenge in patients with left ventricular assist devices because they are often a consequence of complex patient-device interactions. We present a case of intermittent suction of the postero-medial papillary muscle into the left ventricular assist device inflow cannula during diastole, causing low flows. This case highlights the importance of a systematic approach and use of multiple investigation modalities in making an accurate diagnosis. (<b>Level of D  ...[more]

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