Cerebral hemorrhage after left ventricular assist device implantation in a patient with dilated cardiomyopathy: a case report
Abstract
Background: For patients with end-stage heart failure who have undergone left ventricular assist device (LVAD) implantation, postoperative complications such as cerebral hemorrhage are common, leading to high mortality and complex treatment. Effective blood pressure management and adjustment of anticoagulation targets are crucial in the treatment of cerebral hemorrhage after LVAD implantation.
Case presentation: We report the case of a 66-year-old male patient who suffered from a hemorrhagic stroke shortly after the implantation of a domestic LVAD. Intensive blood pressure control was initiated, and the anticoagulation regimen was precisely adjusted. These measures prevented the occurrence of poststroke sequelae, reduced the risk of death, and significantly improved the patient's quality of life. As of the current 5-year follow-up, the patient remains in good general condition.
Conclusion: This case provides valuable insights for clinicians managing LVAD patients who experience stroke.
How strong is the evidence?
Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
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