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Yoshiki Sawa
Norihide Fukushima
Goro Matsumiya
Hikaru Matsuda
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J Thorac Cardiovasc Surg 2002;124:179-180
© 2002 The American Association for Thoracic Surgery

Brief Communications

Severe aortic valve fusion after nearly three years of support with the Novacor left ventricular assist system

Motonobu Nishimura, MD, Shegeaki Ohtake, MD, Yoshiki Sawa, MD, Norihide Fukushima, MD, Goro Matsumiya, MD, Hikaru Matsuda, MD, PhD Osaka, Japan

From the Division of Cardiovascular Surgery, Department of Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.

Received for publication Dec 11, 2001. Accepted for publication Dec 15, 2001. Address for reprints: Hikaru Matsuda, MD, PhD, Department of Surgery (E1), Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita, Osaka 565-0871, Japan (E-mail: matsuda@surg1.med.osakau.ac.jp).

The first 20% of the full text of this article appears below.

Partial aortic valve fusion induced by a left ventricular assist system (LVAS) has been reported by Rose and associates.Go 1 We report here a case of fish mouth-shaped aortic valve fusion induced by prolonged LVAS circulatory support.

Clinical summary

A 48-year-old man first had congestive heart failure in 1994, and medical treatment was initiated. In 1995, the heart failure worsened despite medication, and the patient required hospitalization and intensive treatment. Full examination of the patient led to the diagnosis of idiopathic cardiomyopathy with an enlarged left ventricle and depressed contractile function. Endomyocardial biopsy showed findings compatible with idiopathic cardiomyopathy. The patient's heart failure improved with intensive treatment, and he was discharged with enhanced medical therapy. In September 1997, the patient's heart failure symptoms again gradually worsened, and in December of that year he was brought to the emergency department with cardiogenic shock. He was intubated, placed on intra-aortic balloon pump support, and given a regimen of the maximum dose of . . . [Full Text of this Article]






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