Acute HeartMate3 Malfunction Requiring Exchange Due to Intrapump Obstruction: Inflow Cannula Obstruction Can Cause HM3 Failure.
Divyam Goel, Krish Dewan, Stephen J Greene et al.
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Case in brief
A patient with a HeartMate III (HM3) left ventricular assist device developed acute pump failure 11 months after implantation. Evaluation identified biodebris obstructing both the inflow cannula and the pump interior. The malfunction was attributed to this intrapump obstruction, and the device required exchange. The report describes a life-threatening mechanical complication arising from material occluding the pump pathway.
What made this case unusual
The obstruction involved biodebris in both the inflow cannula and the pump interior, producing acute HM3 failure.
Diagnostic / clinical pearl
In a patient with acute HM3 malfunction, consider intrapump obstruction, including biodebris occluding the inflow cannula, as a potential cause.