Alternate technique for implantation of left ventricular assist system: left thoracotomy for reoperative cases.
Reoperation for Novacor left ventricular assist device placement after prior cardiac surgery is fraught with multiple technical challenges. We have found that a thoracotomy approach obviates these dangers very favorably. The technique is performed off bypass except for apical coring and apical connection. Novacor outflow is to the descending aorta. This approach has been found safe, quick, and effective.
Tittle
Shawn L
SL
Section of Cardiothoracic Surgery, Yale University School of Medicine, New Haven, Connecticut 06520, USA.
Mandapati
Divakar
D
Kopf
Gary S
GS
Elefteriades
John A
JA
D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D013908:Thoracotomy