Successful management of mycotic visceral aneurysms in a LVAD patient and navigating LVAD postoperative challenges

• Published in: Journal of Vascular Surgery Cases and Innovative Techniques
• Main Authors: Kendall Wermine, MD, Salman Gohar, MD, Rusty Milhoan, MD, Bryan Youree, MD, Vivek Ramarathnam, MD, Mohammad Alqaim, MD
• Format: Article
• Language: English
• Published: Elsevier 2025-04-01
• Subjects: LVAD; SMA aneurysms; Mycotic aneurysms; Left ventricular assist device; Visceral aneurysms
• Online Access: http://www.sciencedirect.com/science/article/pii/S2468428724002995
• ISSN: 2468-4287

This report presents a unique case of concurrent mycotic aneurysms in a 64-year-old male left ventricular assist device (LVAD) recipient. Initially admitted with odontogenic maxillary fungal sinusitis and fungemia, he later presented to our clinic with significant weight loss, fatigue, and LVAD complications. Imaging revealed a large complex mid-superior mesenteric artery aneurysm with multiple associated jejunal branches and a ruptured splenic aneurysm. Although these aneurysms were successfully managed, it is important to note the challenges in postoperative care, including anticoagulation-related complications such as post-splenectomy hematoma and intracranial bleeding. This case highlights the delicate balance between therapeutic interventions and managing LVAD-related complexities.