Off-Pump Continuous-Flow Left Ventricular Assist Device Implantation

Author:

Salas De Armas Ismael A.12,Patel Jayeshkumar A.12,Akay Mehmet H.12,Patel Manish K.12,Rajagopal Keshava12,Karabulut Mehmet N.12,Kar Biswajit12,Gregoric Igor D.12

Affiliation:

1. Department of Advanced Cardiopulmonary Therapies and Transplantation, University of Texas Health Science Center at Houston, Houston, Texas

2. Center for Advanced Heart Failure, Memorial Hermann Hospital–Texas Medical Center, Houston, Texas

Abstract

Continuous-flow left ventricular assist device implantation is the typical treatment for end-stage heart failure. Improvements in device engineering and technology, surgical experience and technique, and perioperative management have advanced the field, and short-term results approach those of heart transplantation. Further improvements may be achieved by minimizing adverse physiologic effects associated with cardiopulmonary bypass. Therefore, we have developed an off-pump implantation approach for continuous-flow left ventricular assist devices. We detail our surgical technique for off-pump implantation of the HeartWare device.

Publisher

Texas Heart Institute Journal

Subject

Cardiology and Cardiovascular Medicine

Reference10 articles.

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