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European Journal of Heart Failure Advance Access published online on July 2, 2009
European Journal of Heart Failure, doi:10.1093/eurjhf/hfp090
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org.

Severe anaemia and subcapital femur fracture in a patient with Left Ventricular Assist Device Heart Mate II: the cardiologist's management of this rare patient

Bill D. Gogas1,*, John T. Parissis1, Gerasimos S. Filippatos1, Efstathios K. Iliodromitis1, Konstantinos C. Soultanis2, Georgia G. Kostopanagiotou3, Stergios P. Theodoropoulos4, Dimitrios T. Kremastinos1 and Magdi H. Yacoub4

1 Second Department of Cardiology, Heart Failure Unit, Attikon University Hospital, 1 Rimini Street, Athens, Greece
2 First Department of Orthopaedics, Attikon University Hospital, Athens, Greece
3 Second Department of Anesthesiology, Attikon University Hospital, Athens, Greece
4 Heart Science Centre, Royal Brompton and Harefield Hospital, Harefield, UK

* Corresponding author. Tel: +30 210 6205852/+30 210 8079511/+30 210 5832355. Email: bgogas{at}gmail.com


  Abstract

The use of Left Ventricular Assist Devices (LVADs) has increased over the last decade because of the lack of healthy donor hearts. In this report we describe for the first time a patient with an LVAD Heart Mate II (HM II) implanted 6 months before admission, who initially suffered from severe anaemia and later on underwent a successful bipolar hip replacement owing to subcapital fracture of the right femur. The patient was managed successfully by a team approach, which included a cardiologist, anaesthesiologist, orthopaedic surgeon, and LVAD technician.

Key Words: Left Ventricular Assist Device Heart Mate II • Severe anaemia • Femur fracture

Received February 25, 2009; Revised April 14, 2009; Accepted April 29, 2009


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