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Case Reports
. 2012 Mar 12:7:21.
doi: 10.1186/1749-8090-7-21.

Left ventricular assist device implantation in high risk destination therapy patients: an alternative surgical approach

Louis E Samuels  1 , Elena Casanova-Ghosh, Roberto Rodriguez, Christopher Droogan
Affiliations
Case Reports

Left ventricular assist device implantation in high risk destination therapy patients: an alternative surgical approach

Louis E Samuels et al. J Cardiothorac Surg. .

Abstract

Left Ventricular Assist Device (LVAD) for Destination Therapy (DT) is an established therapy for end stage heart failure patients who are not transplant candidates. Many DT patients requiring LVADs have had prior open heart surgery, the majority of whom had prior sternotomy. In addition, DT patients tend to be older and more likely to have more significant co-morbidities than their Bridge-To-Transplant (BTT) counterparts. As such, placement of an implantable LVAD in DT patients can be technically hazardous and potentially prone to more perioperative complications. The purpose of this report is to describe an alternative implantation approach for the implantation of the Heartmate II™ LVAD in high risk DT patients.

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Figures

Figure 1
Figure 1
Preoperative Chest CT Scan.
Figure 2
Figure 2
Preoperative plan with HM-II™ Model.
Figure 3
Figure 3
Intraop Exposure of LV Apex.
Figure 4
Figure 4
Intraoperative exposure of Aorta with Outflow Graft.
See this image and copyright information in PMC

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