title: Pulmonary lobectomy in a patient with a left ventricular assist device.
abstract: Left ventricular assist devices (LVADs) are increasingly being used as both bridge-to-transplantation and destination therapy in patients with severe congestive heart failure. Performing noncardiac surgical procedures in patients with LVADs represents a unique challenge given the anatomic, hemodynamic, and hematologic considerations in these patients. We present the case of a man with an LVAD who successfully underwent right upper lobectomy for a pulmonary nodule. The literature on thoracic surgery procedures in LVAD patients and the intraoperative and postoperative management of these patients are also reviewed.
authors.affiliation: Department of Surgery, New York Presbyterian Hospital, Columbia College of Physicians of Surgeons, New York, New York 10032, USA.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Wei
authors.forename: Hiroo
authors.initials: H
authors.lastname: Takayama
authors.forename: Matthew D
authors.initials: MD
authors.lastname: Bacchetta
mesh_terms: D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods*; D003074:Solitary Pulmonary Nodule / Q000601:surgery*