Sternotomy Sparing Thoratec Heartmate 3 Implantation via Bilateral Minithoracotomy
Autor: | Daniel Zimpfer, Dominik Wiedemann, Julia Riebandt, Guenther Laufer |
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Rok vydání: | 2018 |
Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Treatment outcome 030204 cardiovascular system & hematology Left ventricular apex Prosthesis Implantation 03 medical and health sciences 0302 clinical medicine medicine.artery Ascending aorta medicine Pericardium Humans Minimally Invasive Surgical Procedures Fifth intercostal space business.industry Perioperative General Medicine Length of Stay Right second intercostal space Surgery medicine.anatomical_structure Treatment Outcome Impaired right ventricular function Thoracotomy 030228 respiratory system cardiovascular system Heart-Assist Devices business Cardiology and Cardiovascular Medicine |
Zdroj: | Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery. 13:74-76 |
ISSN: | 1559-0879 1556-9845 |
Popis: | A novel sternotomy sparing implantation technique for the Thoratec HeartMate 3 is described. Cannulation of the left ventricular apex is performed via a minithoracotomy in the left fourth or fifth intercostal space. The outflow graft is advanced through the pericardium to a second minithoracotomy in the right second intercostal space and then anastomosed to the ascending aorta. This approach was performed in three patients so far with no need for conversion. We did not observe any perioperative adverse events, such as bleeding or thromboembolic complications, as well as no short-term mortality. This technique is especially appealing in multimorbid and frail patients, future transplant candidates, and patients with impaired right ventricular function. |
Databáze: | OpenAIRE |
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