Disseminated malignancy after extracorporeal life support and left ventricular assist device, diagnosed by left ventricular apical core biopsy

作者：Philipsen Tine E^*; Vermeulen Tom; Conraads Viviane M; Rodrigus Inez E

来源：Interactive Cardiovascular and Thoracic Surgery, 2013, 17(5): 875-877.

DOI：10.1093/icvts/ivt334

• Ventricular assist device
• Apical core biopsy
• Heart transplantation
• Fibrolamellar hepatic carcinoma

The left ventricular apical core biopsy performed during implantation of a left ventricular assist device (VAD) is a well-known diagnostic procedure in confirming cardiomyopathies leading to end-stage heart failure. We describe a patient in whom disseminated malignancy was revealed by means of the apical core biopsy after extracorporeal life support and left ventricular assist device implantation as a bridge to transplantation. This case emphasizes the importance of thorough oncological screening before VAD implantation and the possible consequences of circulating tumour cells in this device-assisted circulation.

• 出版日期2013-11