| ISSN |
2307-8960 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
| Copyright |
©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| 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
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| 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 |
| ORCID |
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| Funding Agency and Grant Number |
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| 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. |
| Publish Date |
2026-07-02 08:02 |
| 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; 14(19): 119964
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| URL |
https://www.wjgnet.com/2307-8960/full/v14/i19/119964.htm |
| DOI |
https://doi.org/10.12998/wjcc.119964 |
