Laparoscopic nephroureterectomy in a patient with a left ventricular assist device

Authors

  • Jasmir G. Nayak Section of Urology, Department of Surgery, University of Manitoba
  • Christopher White Section of Cardiac Surgery, Department of Surgery, University of Manitoba
  • Wayne Nates Department of Anesthesia, University of Manitoba
  • Rajan Sharda Section of Urology, Department of Surgery, University of Manitoba
  • David Horne Section of Cardiac Surgery, Department of Surgery, University of Manitoba
  • Kam Kaler Section of Urology, Department of Surgery, University of Manitoba
  • Mark Lytwyn Section of Cardiac Surgery, Department of Surgery, University of Manitoba
  • Hilary P. Grocott Department of Anesthesia, University of Manitoba
  • Darren H. Freed Section of Cardiac Surgery, Department of Surgery, University of Manitoba
  • Thomas McGregor Section of Urology, Department of Surgery, University of Manitoba

DOI:

https://doi.org/10.5489/cuaj.400

Keywords:

Laparoscopic, nephrectomy, nephroureterectomy, Heartmate II LVAD, left-ventricular assist device

Abstract

Left ventricular assist device (LVAD) therapy is an established treatment option for select patients with advanced heart failure. Advances in technology and patient management have resulted in improved post-implant outcomes. Consequently, more patients with LVADs are presenting for evaluation and care of non-cardiac surgical disease. However, there is a paucity of literature regarding the optimal perioperative and surgical management of such patients. We present the case of a 71-year-old male with a HeartMate II (Thoratec Corporation, Pleasanton, CA) LVAD, who underwent a laparoscopic left nephroureterectomy for an upper urinary tract transitional cell carcinoma. His perioperative course was uneventful due to the multidisciplinary efforts of cardiac surgery, cardiac anesthesia, nephrology and urology. To our knowledge, this is the first reported case of a laparoscopic nephroureterectomy in a patient with a HeartMate II LVAD.

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Published

2013-10-09

How to Cite

Nayak, J. G., White, C., Nates, W., Sharda, R., Horne, D., Kaler, K., Lytwyn, M., Grocott, H. P., Freed, D. H., & McGregor, T. (2013). Laparoscopic nephroureterectomy in a patient with a left ventricular assist device. Canadian Urological Association Journal, 7(9-10), e640–4. https://doi.org/10.5489/cuaj.400

Issue

Vol. 7 No. 9-10 (2013): CUAJ October

Section

Case Report

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