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- Title
Off-pump left ventricular assist device exchange via re-do left mini-thoracotomy with original outflow graft preservation.
- Authors
Iwanski, Jessika; Tran, Phat L.; Jerman, Catherine; Smith, Richard; Toshinobu Kazui; Khalpey, Zain
- Abstract
Complications associated with long-term left ventricular assist device (LVAD) use may require pump exchange due to device thrombosis or thromboembolism. Minimally invasive off-pump procedures represent an advantageous alternative to standard full sternotomy exchanges and those performed with the use of cardiopulmonary bypass. By mitigating surgical invasion and trauma to the central chest, the potential for post-operative bleeding, transfusions and complications can be reduced. This case report describes the successful off-pump exchange of a HeartWare LVAD via left re-do-thoracotomy with the re-use of the original outflow graft.
- Subjects
HEART failure treatment; BLOOD transfusion; CARDIOPULMONARY bypass; ENDOSCOPIC surgery; LEFT heart ventricle; HEMORRHAGE; REOPERATION; SURGICAL complications; THROMBOSIS; TRANSPLANTATION of organs, tissues, etc.; CHEST (Anatomy); HEART assist devices; THORACOTOMY
- Publication
Perfusion, 2017, Vol 32, Issue 3, p179
- ISSN
0267-6591
- Publication type
Article
- DOI
10.1177/0267659116677572