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

Richard N Pierson,Renee Howser,Terri Donaldson,Walter H Merrill,Rebecca J Dignan,Davis C Drinkwater,Karla G Christian,Javed Butler,Don Chomsky,John R Wilson,Rick Clark,Stacy F Davis

The Annals of Thoracic Surgery（2002）

Cited 17|Views10

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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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Key words

ventricular assist device implantation,left thoracotomy

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