Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Aug;35(8):2067-2069.
doi: 10.1111/jocs.14775. Epub 2020 Jul 11.

Protek Duo Rapid Deployment cannulation utilized to bridge to durable heartware left ventricular assist device

Alexander D Ghannam  1 , Ashok N Babu  2 , Eric I Jeng  3
Affiliations
Case Reports

Protek Duo Rapid Deployment cannulation utilized to bridge to durable heartware left ventricular assist device

Alexander D Ghannam et al. J Card Surg. 2020 Aug.

Abstract

A 43-year-old gentleman was transferred for management of acute on chronic cardiogenic shock (left ventricular ejection fraction < 10%). Upon arrival, we inserted a left axillary intra-aortic balloon pump for hemodynamic support. He underwent an emergent left and right-heart catheterization which showed patent stents and coronaries, in the setting of severely elevated pulmonary artery and pulmonary capillary wedge pressure. On hospital day 35, we escalated support to Centrimag in conjunction with a 31 French Protek Duo Rapid Deployment cannula. A centrimag cannula apical sewing cuff was sewn in continuous fashion along the left ventricular apex. Via modified seldinger technique, we tunneled the Protek Duo Rapid Deployment cannula through the silastic sewing cuff and the ventricular apex, traversing the aortic valve. On hospital day 50, he underwent left anterior thoracotomy and mini-sternotomy for implantation of durable Heartware left ventricular assist device. He was discharged home off inotropes and had resumed his normal activities. He is currently listed as status four for heart transplantation.

Keywords: Heartware; Protek Duo; cardiogenic shock; heart failure; mechanical circulation.

PubMed Disclaimer

References

REFERENCES

    1. Chaudhry SP, Stewart GC. Advanced heart failure: prevalence, natural history, and prognosis. Heart Fail Clin. 2016;12(3):323-333.
    1. Diepen van Sean, Katz JN, Albert NM, et al. Contemporary management of cardiogenic shock: a scientific statement from the American Heart Association. Circulation. 2017;136(16):e232-e268. https://doi.org/10.1161/cir.0000000000000525
    1. Frazier O. Evolutionary perspective of mechanical circulatory support as a bridge to heart transplantation. J Heart Lung Transplant. 2017;36(12):1283-1285. https://doi.org/10.1016/j.healun.2017.10.002
    1. Musa TA, Chue CD, Lim HS. Mechanical circulatory support for decompensated heart failure. Curr Heart Fail Rep. 2017;14(5):365-375. https://doi.org/10.1007/s11897-017-0349-5
    1. Waqas M, Cowger JA. Role of durable mechanical circulatory support for the management of advanced heart failure. Heart Fail Clin. 2016;12(3):399-409. https://doi.org/10.1016/j.hfc.2016.03.012

Publication types

LinkOut - more resources