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Riebandt, J; Sandner, S; Mahr, S; Haberl, T; Rajek, A; Laufer, G; Schima, H; Zimpfer, D.
Minimally invasive thoratec Heartmate II implantation in the setting of severe thoracic aortic calcification.
Ann Thorac Surg. 2013; 96(3):1094-6 Doi: 10.1016/j.athoracsur.2013.04.114
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Leading authors Med Uni Graz: Zimpfer Daniel
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Abstract:: A minimally invasive approach for implantation of the Heart Mate II left ventricular assist device (LVAD) in the setting of severe thoracic aortic calcification is described. Cannulation of the left ventricular apex is performed through a left subcostal incision with preperitoneal creation of the pump pocket. To avoid outflow graft anastomosis to a severely calcified ascending or descending aorta, the outflow graft is tunneled through the diaphragm, the right thoracic cavity, and the second intercostal space, and is anastomosed to the right subclavian artery. This technique is especially appealing in patients with generalized aortic calcification undergoing LVAD implantation.
Find related publications in this database (using NLM MeSH Indexing): Anastomosis, Surgical - methods; Aorta, Thoracic - diagnostic imaging, pathology, surgery; Calcinosis - diagnostic imaging, surgery; Cardiopulmonary Bypass - methods; Female - administration & dosage; Heart Failure - diagnosis, surgery; Heart-Assist Devices - administration & dosage; Humans - administration & dosage; Imaging, Three-Dimensional - administration & dosage; Male - administration & dosage; Minimally Invasive Surgical Procedures - methods; Patient Positioning - administration & dosage; Prosthesis Implantation - methods; Severity of Illness Index - administration & dosage; Subclavian Artery - diagnostic imaging, surgery; Thoracotomy - methods; Tomography, X-Ray Computed - methods; Treatment Outcome - administration & dosage