Pump thrombosis is a rare and infrequent complication of HeartMate III
left ventricular assist device (LVAD). While there are reports of pump
thrombosis in the postoperative period, to our knowledge, there have
been no prior reports on pump thrombosis in the intraoperative period.
Here we present a case of a 24-year-old female who required HeartMate
III LVAD implantation for progressive heart failure and the
intraoperative period was complicated with pump thrombosis (PT).
Managing PT in the intraoperative period is challenging and
time-sensitive because of its rare occurrence and paucity of
recommendations in diagnosing the PT.