Objective: We describe a successful clot retrieval therapy of cerebral embolism while on a ventricular assist device (VAD) in a pediatric patient.
Case Presentations: A 15-year-old boy underwent an intracorporeal type left VAD placement as a bridge to heart transplantation for severe heart failure related to dilated cardiomyopathy. Eight months later, he suddenly presented with right hemiparesis and dysarthria. A head computed tomography (CT) scan demonstrated a hyperdense sign in the left middle cerebral artery (MCA), and cerebral angiography revealed occlusion of the left MCA M1 distal segment. Mechanical thrombectomy with a stent clot retrieval device achieved complete recanalization. His symptoms rapidly improved and disappeared.
Conclusion: Clot retrieval therapy may be useful for treating a pediatric patient with cerebral embolism related to VAD therapy.