Heartmate 2 left ventricular assist device (lvad) presents with pump stops and confirmed driveline fracture per abbott review of logfile data.Suspicious area were identified on radiographic imaging.Patient underwent heartmate 2 to heartmate 3 lvad exchange.On pod #1 patient required cardioversion for atrial fib with rapid ventricular response.On pod#2 patient was observed with left hemiparesis and gaze preference, left basilar ganglia infarct was confirmed via cat scan.Aspirin and coumadin therapy had been resumed, however heparin bridging had not been started postoperatively.Patients neuro deficits included confusion & weakness which prevented independent living after discharge.
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