PMID- 27158430
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20160509
LR  - 20201001
IS  - 1949-8470 (Print)
IS  - 1949-8470 (Electronic)
IS  - 1949-8470 (Linking)
VI  - 8
IP  - 4
DP  - 2016 Apr 28
TI  - Gastrointestinal bleeding in a patient with a continuous-flow biventricular 
      assist device.
PG  - 428-33
LID - 10.4329/wjr.v8.i4.428 [doi]
AB  - The association between continuous-flow left ventricular assist devices 
      (CF-LVADs) and gastrointestinal (GI) bleeding from angiodysplasia is well 
      recognized. However, the association between continuous-flow biventricular assist 
      devices (CF-BIVADs) and bleeding angiodysplasia is less understood. We report a 
      case of GI bleeding from a patient with a CF-BIVAD. The location of GI bleeding 
      was identified by nuclear red blood cell bleeding scan. The vascular malformation 
      leading to the bleed was identified and localized on angiography and then by 
      pathology. The intensity of bleeding, reflected by number of units of packed red 
      blood cells needed for normalization of hemoglobin, as well as the time to onset 
      of bleeding after transplantation, are similar to that seen in the literature for 
      CF-LVADs and pulsatile BIVADs. While angiography only detected a dilated late 
      draining vein, pathology demonstrated the presence of both arterial and venous 
      dilation in the submucosa, vascular abnormalities characteristic of a late 
      arteriovenous malformation.
FAU - Mirasol, Raymond V
AU  - Mirasol RV
AD  - Raymond V Mirasol, Department of Internal Medicine, Jersey Shore University 
      Medical Center, Neptune, NJ 07753, United Sates.
FAU - Tholany, Jason J
AU  - Tholany JJ
AD  - Raymond V Mirasol, Department of Internal Medicine, Jersey Shore University 
      Medical Center, Neptune, NJ 07753, United Sates.
FAU - Reddy, Hasini
AU  - Reddy H
AD  - Raymond V Mirasol, Department of Internal Medicine, Jersey Shore University 
      Medical Center, Neptune, NJ 07753, United Sates.
FAU - Fyfe-Kirschner, Billie S
AU  - Fyfe-Kirschner BS
AD  - Raymond V Mirasol, Department of Internal Medicine, Jersey Shore University 
      Medical Center, Neptune, NJ 07753, United Sates.
FAU - Cheng, Christina L
AU  - Cheng CL
AD  - Raymond V Mirasol, Department of Internal Medicine, Jersey Shore University 
      Medical Center, Neptune, NJ 07753, United Sates.
FAU - Moubarak, Issam F
AU  - Moubarak IF
AD  - Raymond V Mirasol, Department of Internal Medicine, Jersey Shore University 
      Medical Center, Neptune, NJ 07753, United Sates.
FAU - Nosher, John L
AU  - Nosher JL
AD  - Raymond V Mirasol, Department of Internal Medicine, Jersey Shore University 
      Medical Center, Neptune, NJ 07753, United Sates.
LA  - eng
PT  - Case Reports
PL  - United States
TA  - World J Radiol
JT  - World journal of radiology
JID - 101538184
PMC - PMC4840201
OTO - NOTNLM
OT  - Angiodysplasia
OT  - Angiography
OT  - Continuous-flow ventricular assist devices
OT  - Gastrointestinal bleeding
OT  - Heart failure
EDAT- 2016/05/10 06:00
MHDA- 2016/05/10 06:01
PMCR- 2016/04/28
CRDT- 2016/05/10 06:00
PHST- 2015/11/09 00:00 [received]
PHST- 2016/01/21 00:00 [revised]
PHST- 2016/02/14 00:00 [accepted]
PHST- 2016/05/10 06:00 [entrez]
PHST- 2016/05/10 06:00 [pubmed]
PHST- 2016/05/10 06:01 [medline]
PHST- 2016/04/28 00:00 [pmc-release]
AID - 10.4329/wjr.v8.i4.428 [doi]
PST - ppublish
SO  - World J Radiol. 2016 Apr 28;8(4):428-33. doi: 10.4329/wjr.v8.i4.428.