The Journal of Arthroplasty, Volume 28, Issue 2, 376.e1 - 376.e3

Total Knee Arthroplasty in Patients With a Left Ventricular Assist Device

Leonard, Garrett R. et al.

Many patients with severe cardiac disease can now live for a prolonged period with left ventricular assist devices (LVADs), and some patients will develop noncardiac medical issues that may benefit from surgical intervention. Previous studies have reported a low rate of complications in patients with LVADs undergoing noncardiac surgical procedures. We report the cases of 2 patients with LVADs who underwent total knee arthroplasties for osteoarthritis. Both patients had significant pain relief and improved function; however, management of anticoagulation and bleeding complications was challenging.

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