Left thoracotomy HeartWare implantation with outflow graft anastomosis to the descending aorta: a simplified bridge for patients with multiple previous sternotomies. ASAIO J 2013;59(6):664-7
Date
11/01/2013Pubmed ID
24172273Pubmed Central ID
PMC4066410DOI
10.1097/MAT.0b013e3182a708d1Scopus ID
2-s2.0-84887221867 (requires institutional sign-in at Scopus site) 28 CitationsAbstract
Advances in mechanical circulatory support have been critical in bridging patients awaiting heart transplantation. In addition, improvement in device durability has enabled left ventricular assist device therapy to be applied as destination therapy in those not felt to be transplant candidate. Because of the increasing complexity of patients, there continues to be a need for alternative strategies for device implantation to bridge high-risk patients awaiting heart transplantation, wherein the risks of numerous previous sternotomies may be prohibitive. We present a unique technique for placement of the HeartWare ventricular assist device via left anterior thoracotomy to the descending aorta in a patient awaiting heart transplantation with a history of multiple previous sternotomies.
Author List
Umakanthan R, Haglund NA, Stulak JM, Joyce LD, Ahmad R, Keebler ME, Maltais SMESH terms used to index this publication - Major topics in bold
Aorta, ThoracicArteriovenous Anastomosis
Heart-Assist Devices
Humans
Male
Middle Aged
Prosthesis Implantation
Reoperation
Thoracotomy
