Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Damar Cer Derg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 1301 - 1839 E-ISSN 2149 - 1259

Turkish Journal of Vascular Surgery 0 , Vol 0 , Issue 0
Bilateral Endovascular Uterine Artery Embolization for Dysfunctional Uterine Artery Bleeding with Heartware Left Ventricular Assist Support Device
Zümrüt Tuba DEMİRÖZÜ1,Özlem AKGÜL2,Arzu POYANLI3,Deniz Süha KÜÇÜKAKSU1
1Clinics of Heart Transplantation and Mechanical Circulatory Support, İstanbul Bilim School of Medicine, Şişli Florence Nightingale Hospital, İstanbul
2Clinics of Obstetrics and Gynecology, İstanbul Bilim School of Medicine, Şişli Florence Nightingale Hospital, İstanbul
3Clinics of Invasive Radiology, İstanbul Bilim School of Medicine, Şişli Florence Nightingale Hospital, İstanbul
DOI : 10.9739/uvcd.2014-42237 We report a 40-year-old lady with post-partum cardiomyopathy for more than 4 years and had left ventricular assist (LVAD) implantation . She was New York Heart Association Class IV and Interagency Registry for Mechanically Assisted Circulatory Support Level I. She had Heart- Ware (HeartWare Inc, Framingham, MA, USA) LVAD implantation. She was admitted to emergency department with dysfunctional uterine bleeding with a hemoglobin level 3 g/dL and a hematocrit (htc) level 10%, 3 months postoperatively. The ultrasonographic evaluation revealed blood coagulum in the uterine cavity, she was diagnosed with dysfunctional uterine bleeding, and hospitalized. Since there was a probability of LVAD pump thrombosis, a surgical intervention was not planned. Gonadotropin releasing hormone analogue therapy and embolisation of bilateral uterine arteries prevented further dysfunctional uterine bleeding. We report the first case in the literature with advanced heart failure supported with LVAD and bilateral uterine artery embolization due to dysfunctional uterus artery bleeding with an endovascular procedure. Keywords : Heart assist devices; dysfunctional uterine bleeding (DUB); uterine artery embolization; endovascular procedures