Document Detail


A safe, alternative technique for off-pump left ventricular assist device implantation in high-risk reoperative cases.
MedLine Citation:
PMID:  17670239     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
The implant of a ventricular assist device is a standardized procedure. However, it carries a high-risk in reoperations, especially if there are patent by-pass grafts. An isolated thoracotomy has been previously described as an alternative access route in these patients, but it offers a limited exposure should intraoperative right-heart failure occur. In the following, we describe an alternative, off-pump technique that combines a median sternotomy with limited dissection of the right-heart with a left anterolateral thoracotomy. In our experience, it proves to be a safe way for the LVAD insertion in these high-risk patients.
Authors:
Frédéric Collart; Horea Feier; Dominique Metras; Thierry G Mesana
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  3     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2007-08-02     Completed Date:  2007-08-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  286-8     Citation Subset:  -    
Affiliation:
Department of Adult Cardiac Surgery, La Timone University Hospital, Marseille, France. fcollart@univ-aix.fr
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