Hemorrhoids screening and treatment prior to LVAD: is it a necessity?

Skouri, H., Shurrab, M., Zahnan, J., Deeba, S., Sfeir, P., Gharzuddin, W. and Haj-Yahia, S. (2016) Hemorrhoids screening and treatment prior to LVAD: is it a necessity? Journal of Cardiothoracic Surgery, 11, 58. (doi: 10.1186/s13019-016-0441-z) (PMID:27067282) (PMCID:PMC4828895)

Abstract

Continuous-flow left ventricle assist devices (CF-LVADs) has become an essential modality in the management of stage D heart failure (HF) with significant improvement in survival and quality of life. Due to the durability of such devices and long term support complications such as bleeding and aortic insufficiency has emerged. Bleeding accounts for more than 20 % with the majority being from the gastrointestinal tract. The increase of bleeding tendency are mainly attributed to the loss of large von Willebrand’s Factor (vWF) multimers due to shear stress with the chronic intake of anticoagulants. We are reporting two cases of patients with Stage D HF and history of hemorrhoids presenting for LVAD implantation. Many efforts that decrease bleeding related to CF-LVADs will be discussed with focus on hemorrhoids.

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Haj-Yahia, Professor Saleem
• Authors: Skouri, H., Shurrab, M., Zahnan, J., Deeba, S., Sfeir, P., Gharzuddin, W., and Haj-Yahia, S.
• College/School: College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health
• Journal Name: Journal of Cardiothoracic Surgery
• Publisher: BioMed Central
• ISSN: 1749-8090
• ISSN (Online): 1749-8090
• Copyright Holders: Copyright © 2016 Skouri et al.
• First Published: First published in Journal of Cardiothoracic Surgery 11: 58
• Publisher Policy: Reproduced under a Creative Commons License