Chronic Hemodialysis in a Patient with Left Ventricular Assist Device.

Authors

Amr Idris, Gill Heart Institute, University of Kentucky, Lexington, KYFollow
Georges Lolay, Internal Medicine, University of Kentucky, Lexington, KY 40503Follow
Ana L. Castellanos, Division of Nephrology, Bone & Mineral Metabolism, University of Kentucky, Lexington, KY, USA 40503Follow
Navin Rajagopalan, Division of Cardiovascular Medicine, Linda and Jack Gill Heart Institute, University of Kentucky, Lexington, KY, USA 40503Follow
Maya Guglin, Division of Cardiovascular Medicine, Linda and Jack Gill Heart Institute, University of Kentucky, Lexington, KY, USA 40503Follow

Peer Reviewed

1

Publication Date

8-15-2015

Document Type

Case Report

Abstract

Renal dysfunction in the setting of heart failure is a common medical problem. This dysfunction can range from reversible ischemic changes to renal failure requiring renal replacement therapy. Patients who are candidates for mechanical circulatory support with left ventricular assistant device (LVAD) pose unique challenge with respect to receiving dialysis. We present a 47 year old patient who required renal replacement therapy peri-implantation of LVAD for management of acute on chronic kidney disease, and was discharged for chronic hemodialysis in an outpatient setting. In this report we highlight the challenges of managing volume overload in patients with impaired renal function refractory to optimal medical therapy as well as the possibility of implanting LVADs in patients on hemodialysis.

DOI

http://dx.doi.org/10.13023/VAD.2015.11

Creative Commons License

This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License

Recommended Citation

Idris, Amr; Lolay, Georges; Castellanos, Ana L.; Rajagopalan, Navin; and Guglin, Maya (2015) "Chronic Hemodialysis in a Patient with Left Ventricular Assist Device.," The VAD Journal: Vol. 1, Article 14.
DOI: http://dx.doi.org/10.13023/VAD.2015.11
Available at: https://uknowledge.uky.edu/vad/vol1/iss1/14