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CASE REPORT
Year : 2022  |  Volume : 8  |  Issue : 1  |  Page : 64-67

Treatment of chronic subdural hematoma in a patient with a left ventricular assist device: Case report and review of the literature


1 Department of Neurosurgery, MedStar Washington Hospital Center, Washington, DC, USA
2 Georgetown University School of Medicine, Washington, DC, USA

Correspondence Address:
Gnel Pivazyan
110 Irving St NW, Suite 2B.10, Washington, DC 20010
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/bc.bc_74_21

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Patients with left ventricular assist devices (LVADs) provide a unique challenge with regard to the management of subdural hematomas (SDH), due to preexisting comorbidities and induced coagulopathy. We report on the case of a 63-year-old female with a preexisting LVAD who developed an acute on chronic SDH with 15 mm of midline shift. She was successfully treated with middle meningeal artery (MMA) embolization and placement of a bedside subdural evacuating port system without hematoma recurrence at 1-year follow-up. Both operative and nonoperative management of SDHs in patients with LVAD is associated with high risk of mortality and morbidity. Chronic SDHs in this patient population can be successfully managed with a minimally invasive approach that includes MMA embolization and bedside subdural drain placement.


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