Document Detail


Temporary right heart assist: a minimally invasive approach.
MedLine Citation:
PMID:  22882440     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A surgical method for the implantation of a mechanical right ventricular assist device which avoids resternotomy/thoracotomy and related complications at the time of explantation is presented. In order to support the failing right heart, a Dacron vascular graft was sewn to the pulmonary artery. For venous drainage, a cannula was inserted into the right atrium via the femoral vein. Explantation of the system, after the right heart resumed its function, was accomplished by retracting and compressing the venous cannula in the groin as well as by retracting the arterial cannula from the Dacron vascular graft followed by suturing without opening the chest. Between 2006 and 2011, this system was used in 12 patients. The median duration of right heart support was 10.5 days. Seven patients were successfully weaned from the system, six patients survived. In all cases, explantation was free of complications. The technique described is a safe method to support the right heart and allows explantation without the risks and complications of reopening the thorax.
Authors:
Simon Schopka; Assad Haneya; Leopold Rupprecht; Daniele Camboni; Christof Schmid; Michael Hilker
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Artificial organs     Volume:  36     ISSN:  1525-1594     ISO Abbreviation:  Artif Organs     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-08-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802778     Medline TA:  Artif Organs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  700-4     Citation Subset:  IM    
Copyright Information:
© 2012, Copyright the Authors. Artificial Organs © 2012, International Center for Artificial Organs and Transplantation and Wiley Periodicals, Inc.
Affiliation:
Department of Cardiothoracic Surgery, University Medical Center Regensburg, Regensburg, Germany.
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