title: Lung lobectomy in a patient with an implantable left ventricular assist device.
abstract: Non-cardiac surgical procedures in patients with left ventricular assist devices (LVADs) pose a special challenge given the hemodynamic and hematologic considerations in these patients. During pulmonary procedures in patients with LVADs, special attention should be paid to hemodynamics because lung resection surgery requires a lateral decubitus position, single-lung ventilation and postoperative decrease in the pulmonary vascular bed, all of which may lead to inadequate preload to the LVAD. We present a case of lower lobectomy of the left lung for an adenocarcinoma found in a patient with an implantable continuous-flow LVAD.
authors: Department of Thoracic Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan. murakawa-tky@umin.ac.jp
authors: Tomohiro
authors: T
authors: Murakawa
authors: Tomonori
authors: T
authors: Murayama
authors: Jun
authors: J
authors: Nakajima
authors: Minoru
authors: M
authors: Ono
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006333:Heart Failure / Q000503:physiopathology / Q000628:therapy*; D006353:Heart-Assist Devices; D006439:Hemodynamics; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D056888:Patient Positioning; D011013:Pneumonectomy; D049268:Positron-Emission Tomography; D011474:Prosthesis Design; D012121:Respiration, Artificial; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D016277:Ventricular Function, Left