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Case Reports in Transplantation
Volume 2012 (2012), Article ID 376384, 3 pages
http://dx.doi.org/10.1155/2012/376384
Case Report

Hemolysis and Pulmonary Insufficiency following Right Ventricular Assist Device Implantation

Department of Cardiothoracic Surgery, Penn State Hershey Heart and Vascular Institute, 500 University Drive, Hershey, PA 17033, USA

Received 24 April 2012; Accepted 23 August 2012

Academic Editors: A. Beiras-Fernandez and D. Conti

Copyright © 2012 Sarah A. Schubert et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report a case of severe hemolysis and pulmonary valve insufficiency (PI) following right ventricular support using a paracorporeal pneumatic pump (Abiomed, Danvers, MA, USA). We speculate that the high velocity jet of blood emanating from the outflow cannula caused turbulence above the pulmonary valve, leading to PI and hemolysis. Despite the growing number of implanted ventricular assist devices, we could find no report in the literature describing pulmonary valve insufficiency secondary to right ventricular assist device (RVAD) placement. Fortunately, in this case, right ventricular function recovered sufficiently after seven days of support, allowing explantation of the device and resolution of PI and hemolysis.