TY  - BOOK
AU  - Bien-Aime, Fred
AU  - Jawaid, Yasir
AU  - Kallur, Akhil
AU  - Sallam, Tariq
AU  - Zaaqoq, Akram M
TI  - Aortic root thrombus causing non-ST elevation myocardial infarction after left ventricular assist device
SN  - 0267-6591
PY  - 2022///
KW  - IN PROCESS -- NOT YET INDEXED
KW  - MedStar Washington Hospital Center
KW  - Internal Medicine Residency
KW  - Medicine/Pulmonary-Critical Care
KW  - Surgical Critical Care
KW  - Journal Article
N2  - A 61-year-old male presented with a history of ischemic cardiomyopathy requiring left ventricular assist device (LVAD) implantation 9 months prior to presentation. The patient was on aspirin and warfarin as part of his LVAD management. The patient had chest pain and was found to have non-ST elevation myocardial infarction. Despite being on warfarin, a subtherapeutic international normalized ratio of 1.6 was measured on admission. Lactate dehydrogenase was 694 U/L (12-146) and high-sensitivity troponin peaked at 47,093 ng/L. Left heart catheterization revealed an extensive aortic root thrombus (AT). AT is an uncommon cause of thromboembolic events in long-term LVAD patients. Thrombotic events in LVAD patients are pump thrombosis, cerebrovascular accidents, heparin-induced thrombocytopenia, and rarely, AT. There is no well-described management of such a rare complication. In our report, we suggest a multidisciplinary approach and consideration of conservative treatment of these patients
UR  - https://dx.doi.org/10.1177/02676591221096228
ER  -