Pulmonary lobectomy in a patient with a left ventricular assist device.
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.
Wei
Benjamin
B
Department of Surgery, New York Presbyterian Hospital, Columbia College of Physicians of Surgeons, New York, New York 10032, USA.
Takayama
Hiroo
H
Bacchetta
Matthew D
MD
D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods*; D003074:Solitary Pulmonary Nodule / Q000601:surgery*