Initial Canadian Experience With Bilateral Minithoracotomy Approach for HeartMate 3 Left Ventricular Assist Device Implantation

被引：2

作者：

Vasanthan, Vishnu ^{[1
]}

Holloway, Daniel ^{[1
]}

Clarke, Brian ^{[2
]}

Kent, William ^{[1
]}

机构：

[1] Libin Cardiovasc Inst, Dept Cardiac Sci, Sect Cardiac Surg, Calgary, AB, Canada

[2] Libin Cardiovasc Inst, Dept Cardiac Sci, Div Cardiol, Calgary, AB, Canada

来源：

CJC OPEN | 2019年 / 1卷 / 05期

关键词：

D O I：

10.1016/j.cjco.2019.04.004

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Left ventricular assist devices provide hemodynamic support to improve quality of life and long-term survival in patients with end-stage heart failure. The HeartMate 3 (Abbott, Abbott Park, IL) left ventricular assist device uses magnetically levitated impeller technology, improving durability and reducing pump thrombosis. Sternum-sparing implantation may reduce perioperative bleeding and infection, improve mobility, decrease hospitalization duration, and reduce right ventricular dysfunction. We describe the first Canadian HeartMate 3 implantation via bilateral minithoracotomy. Our case supports the compatibility of the HeartMate 3 device with sternum-sparing approaches and highlights the feasibility of intrapericardial tunnelling of the outflow graft.

引用

页码：261 / 263

页数：3

共 5 条

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[2]

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[3]

Schmitto J.D., Molitoris U., Haverich A., Strueber M., Implantation of a centrifugal pump as a left ventricular assist device through a novel, minimized approach: upper hemisternotomy combined with anterolateral thoracotomy, J Thorac Cardiovasc Surg, 143, pp. 511-513, (2012)

[4]

Potapov E.V., Kukucka M., Falk V., Krabatsch T., Off-pump implantation of the HeartMate 3 left ventricular assist device through a bilateral thoracotomy approach, J Thorac Cardiovasc Surg, 153, pp. 104-105, (2017)

[5]

Sileshi B., O'Hara B.K., Davis M.E., Et al., Outcomes of patients implanted using a left thoracotomy technique for a miniaturized centrifugal continuous-flow pump, ASAIO J, 62, pp. 539-544, (2016)

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