Abstract
A 41-year-old man with non-ischaemic dilated cardiomyopathy and morbid obesity was hospitalized with shortness of breath, abdominal pain, and haematochezia. At the age of 39 years, he underwent a left ventricular assist device (LVAD) placement (HeartMate II; Thoratec Corporation, Pleasanton, CA) for destination therapy and tricuspid valve annuloplasty. Initial evaluation revealed ischaemic colitis, elevated left heart filling pressures, and severe haemolysis. LVAD readings were not definitive but suggested a thrombus. Colour flow Doppler transesophageal echocardiography (TEE) demonstrated a normal flow in the left ventricular inflow ( Panel A ; see Supplementary data online, Movie S1 ) and outflow …
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