Successful pregnancy with centrifugal flow left ventricular assist device: A case report and review of the literature

Authors

Seyed Hamed Hosseini Dehkordi, University of Kansas Medical CenterFollow
Matthew R. Lippmann, University of Kansas Medical CenterFollow
Travis Abicht, University of Kansas Medical CenterFollow
Andrew J. Sauer, University of Kansas Medical CenterFollow
Nicholas A. Haglund, University of Kansas Medical CenterFollow
Marc R. Parrish, University of Kansas Medical CenterFollow
Jared Staab, University of Kansas Medical CenterFollow
Bhanu Gupta, University of Kansas Medical CenterFollow

Document Type

Case Report

Abstract

Successful deliveries from patients supported by axial flow left ventricular devices have been previously reported. We present the first case of a successful pregnancy and birth in a patient with a centrifugal-flow left ventricular assist device. A 24-year-old female with methamphetamine-induced cardiomyopathy and end-stage congestive heart failure supported by a HeartWare™ ventricular assist device (Medtronic) presented two years after device implantation with an unplanned pregnancy at 11-weeks of gestation. Following a multidisciplinary evaluation by experts in advanced heart failure, maternal fetal medicine, cardiothoracic surgery, anesthesia, ethics, psychiatry, and palliative care, an advanced plan of care was established. An elective induction of labor was scheduled for the 34th week of gestation. Given poor labor progression despite maximal induction efforts, the patient was transferred to a cardiothoracic operating room where she delivered a healthy baby boy via Cesarean section under close hemodynamic monitoring by advanced heart failure and cardiothoracic surgery teams.

Creative Commons License

This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License

Recommended Citation

Hosseini Dehkordi, Seyed Hamed; Lippmann, Matthew R.; Abicht, Travis; Sauer, Andrew J.; Haglund, Nicholas A.; Parrish, Marc R.; Staab, Jared; and Gupta, Bhanu (2021) "Successful pregnancy with centrifugal flow left ventricular assist device: A case report and review of the literature," The VAD Journal: Vol. 7(1) :e2021711 DOI: https://doi.org/10.11589/vad/e2021711

Available at: https://digitalcommons.library.tmc.edu/vad/vol7/iss1/1

First Page

e2021711