How to do itHeartWare Left Ventricular Assist Device Implantation Through Bilateral Anterior Thoracotomy
Section snippets
Technique
Preoperative assessment included a chest computed tomography scan and transthoracic echocardiography. Transesophageal echocardiography was used for intraoperative patient and device assessment. The operation was performed under general anesthesia with a double-lumen endotracheal tube.
A left-sided anterior thoracotomy (8 cm) was performed, and the left pleura was opened through the fifth intercostal space, followed by the opening of the pericardium and exposure of the heart apex. The insertion
Comment
There is a growing trend toward the use of nonsternotomy incisions in all fields of cardiac surgery. Although median sternotomy provides the best access to the heart and the adjacent structures, it could be replaced by smaller thoracotomy incisions in most cases. For patients who will require more than one cardiac operation (for example, VAD implantation as a bridge to transplantation), avoiding median sternotomy in the first operation will reduce the surgical risk of a redo sternotomy in the
References (7)
- et al.
A less invasive approach to axial flow pump insertion
J Heart Lung Transplant
(2008) - et al.
Initial clinical experience with a novel left ventricular assist device with a magnetically levitated rotor in a multi-institutional trial
J Heart Lung Transplant
(2010) - et al.
Multicenter evaluation of an intrapericardial left ventricular assist system
J Am Coll Cardiol
(2011)
Cited by (0)
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Drs Popov and Hosseini contributed equally to this manuscript.