Cerebral hemorrhage after left ventricular assist device implantation in a patient with dilated cardiomyopathy: a case report - Takeaways - MDSpire

Cerebral Hemorrhage Following LVAD Implantation in a Patient with Dilated Cardiomyopathy: A Case Study

  • By

  • Yanwei Wei

  • Yunqiang Zhang

  • Li Han

  • Aixue Zhang

  • Rui Jing

  • July 20, 2026

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  • 1

    Cerebral hemorrhage is a common postoperative complication following LVAD implantation, leading to high mortality and complex treatment.

  • 2

    A 66-year-old male patient experienced a hemorrhagic stroke 36 days after LVAD implantation, requiring intensive blood pressure control and anticoagulation adjustment.

  • 3

    The patient's anticoagulation therapy was restarted on day three post-stroke, maintaining an INR of 2.0–2.2, which helped control the hemorrhage.

  • 4

    The patient had a favorable prognosis, with no severe sequelae from the stroke and remained in good condition during a 5-year follow-up.

  • 5

    This case highlights the importance of blood pressure management and anticoagulation in LVAD patients experiencing stroke.

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