ArticleJACC. Case reports2026
Aortic Root Thrombosis With Multivessel Coronary Embolism Following Left Ventricular Assist Device Implantation.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Are We Missing the Obvious? Lessons From Aortic Root Thrombosis After LVAD Implantation.JACC. Case reports · 2026Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAortic root thrombosis is uncommon but potentially catastrophic in patients supported with continuous-flow left ventricular assist devices (LVADs). CASE SUMMARY: We describe a 28-year-old woman presenting with syncope 1 month after HeartMate 3 LVAD implantation. Electrocardiography demonstrated a myocardial infarction. Echocardiography revealed severe biventricular dysfunction, persistent aortic valve closure, and normal LVAD inflow velocities. The international normalized ratio was 1.4. Coronary angiography identified a mobile aortic root thrombus with multivessel coronary embolization. Given prohibitive embolic risk, intensive medical therapy was pursued, leading to clinical stabilization. DISCUSSION: Early recognition and multidisciplinary management are critical when invasive strategies carry high risk. TAKE-HOME MESSAGES: Aortic root thrombosis is a rare but life-threatening complication in patients supported with continuous-flow LVADs. Acute ST-segment elevation myocardial infarction in patients with LVAD should prompt urgent evaluation for coronary embolism rather than atherosclerotic disease, especially in young patients without traditional risk factors. Management of aortic root thrombus with multivessel coronary embolization requires individualized, multidisciplinary decision-making.
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