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Dysphagia in the setting of left ventricular assist device hemolysis.

Publication ,  Journal Article
Mentz, RJ; Schlendorf, K; Hernandez, AF; Milano, CA; Felker, GM; Blue, LJ; Schroder, JN; Rogers, JG; Patel, CB
Published in: ASAIO J
2013

A 69-year-old man with advanced heart failure treated with a continuous-flow left ventricular assist device presented for evaluation of dark urine and severe dysphagia. Because of evidence of ongoing intravascular hemolysis with device dysfunction, there was a clinical suspicion for pump thrombosis. He had progressive end-organ dysfunction and was therefore treated with tissue plasminogen activator with prompt resolution in hemolysis and dysphagia. Although symptoms of smooth muscle dystonia could represent worsening heart failure in the setting of device failure, the observation may also be related to intravascular hemolysis as described in the prototypic hemolytic disease, paroxysmal nocturnal hemoglobinuria.

Duke Scholars

Published In

ASAIO J

DOI

EISSN

1538-943X

Publication Date

2013

Volume

59

Issue

3

Start / End Page

322 / 323

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Tissue Plasminogen Activator
  • Muscle, Smooth
  • Male
  • Humans
  • Hemolysis
  • Hemoglobinuria, Paroxysmal
  • Heart-Assist Devices
  • Heart Failure
  • Dystonia
 

Citation

APA
Chicago
ICMJE
MLA
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Mentz, R. J., Schlendorf, K., Hernandez, A. F., Milano, C. A., Felker, G. M., Blue, L. J., … Patel, C. B. (2013). Dysphagia in the setting of left ventricular assist device hemolysis. ASAIO J, 59(3), 322–323. https://doi.org/10.1097/MAT.0b013e31828bbb00
Mentz, Robert J., Kelly Schlendorf, Adrian F. Hernandez, Carmelo A. Milano, G Michael Felker, Laura J. Blue, Jacob N. Schroder, Joseph G. Rogers, and Chetan B. Patel. “Dysphagia in the setting of left ventricular assist device hemolysis.ASAIO J 59, no. 3 (2013): 322–23. https://doi.org/10.1097/MAT.0b013e31828bbb00.
Mentz RJ, Schlendorf K, Hernandez AF, Milano CA, Felker GM, Blue LJ, et al. Dysphagia in the setting of left ventricular assist device hemolysis. ASAIO J. 2013;59(3):322–3.
Mentz, Robert J., et al. “Dysphagia in the setting of left ventricular assist device hemolysis.ASAIO J, vol. 59, no. 3, 2013, pp. 322–23. Pubmed, doi:10.1097/MAT.0b013e31828bbb00.
Mentz RJ, Schlendorf K, Hernandez AF, Milano CA, Felker GM, Blue LJ, Schroder JN, Rogers JG, Patel CB. Dysphagia in the setting of left ventricular assist device hemolysis. ASAIO J. 2013;59(3):322–323.

Published In

ASAIO J

DOI

EISSN

1538-943X

Publication Date

2013

Volume

59

Issue

3

Start / End Page

322 / 323

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Tissue Plasminogen Activator
  • Muscle, Smooth
  • Male
  • Humans
  • Hemolysis
  • Hemoglobinuria, Paroxysmal
  • Heart-Assist Devices
  • Heart Failure
  • Dystonia