Pancreaticoduodenectomy in a patient with previous left ventricular assist device: a case report with specific emphasis on peri-operative logistics.

Publication Title

J Surg Case Rep

Authors

Juan Mejia, Providence Sacred Heart Medical Center, Spokane, WA.Follow
Mei Dong, Providence Liver and Pancreas Surgery Center, Spokane, WA, USA
Okechukwu Ojogho, Department of Transplant Surgery, Providence Transplant Surgery, Spokane, Washington, USAFollow

Document Type

Article

Publication Date

3-1-2017

Abstract

To the best of our knowledge this is the first case of this nature described in the literature. Sharing the authors experience with this case, particularly the technical challenges and post-operative management may aid other physicians facing similar scenarios. In this report, we describe a pancreaticoduodenectomy for pancreatic adenocarcinoma in a patient with a previous left ventricular assist device (LVAD). A multidisciplinary approach, particularly close involvement of the advanced heart failure, mechanical heart and pancreas surgery teams was key to the success of this case. Major abdominal surgery in the setting of previous LVAD should be considered carefully, however, the LVAD should not be generalized as an absolute contraindication.

Clinical Institute

Digestive Health

Specialty/Research Institute

Gastroenterology

Specialty/Research Institute

Surgery