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Severe aortic valve fusion after nearly three years of support with the Novacor left ventricular assist system.

A 48-year-old man first had congestive heart failure in 1994, and medical treatment was initiated. In 1995, the heart failure worsened despite medication, and the patient required hospitalization and intensive treatment. Full examination of the patient led to the diagnosis of idiopathic cardiomyopathy with an enlarged left ventricle and depressed contractile function. Endomyocardial biopsy showed findings compatible with idiopathic cardiomyopathy. The patient’s heart failure improved with intensive treatment, and he was discharged with enhanced medical therapy. In September 1997, the patient’s heart failure symptoms again gradually worsened, and in December of that year he was brought to the emergency department with cardiogenic shock. He was intubated, placed on intra-aortic balloon pump support, and given a regimen of the maximum dose of catecholamine, but his condition did not improve despite this aggressive medical treatment. At that point no