title: Off-pump implantation of the HeartWare HVAD left ventricular assist device through minimally invasive incisions.
abstract: Implantation of left ventricular assist devices through small incisions, avoiding cardiopulmonary bypass, may decrease the activation of the inflammatory and coagulation cascades and decrease bleeding and vasoplegia. One patient with severe, inotrope-dependant cardiomyopathy received the HeartWare left ventricular assist device (HeartWare Inc, Framingham, MA) through an upper ministernotomy and left minithoracotomy. The outflow graft was connected to the ascending aorta, and the inflow of the left ventricular assist device was attached through to the apex of the heart. The apical puncture was performed under rapid ventricular pacing, followed by insertion of the inflow of the pump. The patient was extubated rapidly and discharged home 14 days later.
authors: Division of Cardiothoracic Surgery, St. Paul's Hospital, University of British Columbia, Vancouver, Canada. acheung@providencehealth.bc.ca
authors: Anson
authors: A
authors: Cheung
authors: Yoan
authors: Y
authors: Lamarche
authors: Annemarie
authors: A
authors: Kaan
authors: Bradley
authors: B
authors: Munt
authors: Aaron
authors: A
authors: Doyle
authors: Jamil
authors: J
authors: Bashir
authors: Paul
authors: P
authors: Janz
mesh_terms: D005260:Female; D006353:Heart-Assist Devices; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000379:methods*