ArticleThe American journal of case reports2026
A Patient With a Left Ventricular Assist Device Requiring Emergency Surgery for a Strangulated Umbilical Hernia: A Case Report.
Article in The American journal of case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND Patients with left ventricular assist devices (LVADs) who require emergency non-cardiac surgery are at high risk due to long-term anticoagulation and the consequences of underlying heart failure. Approximately 3.3% of LVAD patients require emergency abdominal surgery, which is associated with a higher in-patient mortality rate. This report describes the case of a 43-year-old man with an implantable cardioverter defibrillator (ICD) and a left ventricular assist device (LVAD) who required emergency surgery for a strangulated umbilical hernia. CASE REPORT A 43-year-old man with an ICD and an LVAD who had been taking warfarin and clopidogrel presented with a 2-day history of abdominal pain and vomiting. Physical examination revealed a strangulated umbilical hernia and a non-strangulated right-sided inguinal hernia. The strangulated portion of the small intestine was resected, then an end-to-end intestinal anastomosis and closure of the umbilical and inguinal hernias were performed. In the next 2 days he developed symptoms of intraperitoneal bleeding; therefore, a decision was made to totally withhold anticoagulant and antiplatelet medication and administer 2 units of packed red blood cells concentrate and 1 unit of platelet concentrate. Despite prolonged anticoagulation interruption, the patient survived without LVAD thrombosis or ischemic complications and was transferred to the LVAD implantation center. CONCLUSIONS This report aims to accentuate the high-stakes decisions made to maintain a balance between thrombotic and hemorrhagic risk in our patient. It is advisable to consult the specialized implantation center overseeing the patient's ongoing care before performing emergency surgery.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.