Massive intercostal hemorrhage after implantation of an intrapericardial
ventricular assist device: a case report
Left ventricular assist devices (LVADs) have become integral to the
treatment of advanced heart failure. Surgical bleeding is a known
complication of LVAD placement but is most associated with
intraperitoneal pump locations. Here we describe a case of massive
postoperative hemorrhage secondary to erosion of an intrapericardial
LVAD into an intercostal artery with an associated rib fracture.