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. 2002 Mar;73(3):997-9.
doi: 10.1016/s0003-4975(01)03448-8.

Left ventricular assist device implantation via left thoracotomy: alternative to repeat sternotomy

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Left ventricular assist device implantation via left thoracotomy: alternative to repeat sternotomy

Richard N Pierson 3rd et al. Ann Thorac Surg. 2002 Mar.

Abstract

Repeat sternotomy for left ventricular assist device insertion may result in injury to the right heart or patent coronary grafts, complicating intraoperative and postoperative management. In 4 critically ill patients, left thoracotomy was used as an alternative to repeat sternotomy. Anastomosis of the outflow conduit to the descending thoracic aorta provided satisfactory hemodynamic support.

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