Publication Name	World Journal of Clinical Cases
Manuscript ID	119964
DOI	10.12998/wjcc.119964
Country	Greece

Category	Critical Care Medicine
Manuscript Type	Case Report
Article Title	Venous excess ultrasound score detects systemic venous congestion in a left ventricular assist device patient: A case report
Manuscript Source	Invited Manuscript
All Author List	Fotios Dimitriadis, Dimitrios Elaiopoulos, Michalis Antonopoulos, Giorgos Konstantinou, Theodosia Maragkoulia, Paraskevi Salata, Maria Chronaki, Eleni Tzatzaki, Ioannis Vlahodimitris, Theodoros Pitsolis, Michail Zervos, Theodora Soulele, Michail Bonios, Themistoklis Chamogeorgakis and Stavros Dimopoulos
Funding Agency and Grant Number
Corresponding Author	Stavros Dimopoulos, PhD, Cardiac Surgery Intensive Care Unit, Onassis Cardiac Surgery Center, 356 Syggrou Av, Athens 17674, Attikí, Greece. stdimop@gmail.com
Key Words	Left ventricular assist device; Venous excess ultrasound score; Echocardiography; Venous congestion; Haemodynamic assessment; Case report
Core Tip	In left ventricular assist device (LVAD)-supported patients, hypotension and low-flow alarms do not necessarily indicate hypovolaemia. This case highlights how integrating transthoracic echocardiography with venous excess ultrasound score (VExUS) can help identify suction-associated ventricular interdependence with systemic venous congestion and guide timely LVAD speed optimisation rather than unnecessary fluid loading. VExUS should be interpreted as an adjunctive bedside tool within the broader clinical, echocardiographic, and device-parameter context. Serial venous Doppler reassessment may further support bedside monitoring of congestion and response to interventions during postoperative haemodynamic instability. Further validation is required before routine implementation in LVAD patients.
Citation	Dimitriadis F, Elaiopoulos D, Antonopoulos M, Konstantinou G, Maragkoulia T, Salata P, Chronaki M, Tzatzaki E, Vlahodimitris I, Pitsolis T, Zervos M, Soulele T, Bonios M, Chamogeorgakis T, Dimopoulos S. Venous excess ultrasound score detects systemic venous congestion in a left ventricular assist device patient: A case report. World J Clin Cases 2026; In press DOI: https://doi.org/10.12998/wjcc.119964
PDF	119964-in-press.pdf

Received	2026-02-11 00:39
Peer-Review Started	2026-02-11 00:44
First Decision by Editorial Office Director	2026-04-15 08:56
Return for Revision	2026-04-15 08:56
Revised	2026-05-21 20:59
Publication Fee Transferred
Second Decision by Editor	2026-06-10 02:33
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-06-10 06:07
Articles in Press	2026-06-10 06:07
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2307-8960 (online)
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