title: Thoratec HeartMate II(®) left ventricular assist device implantation in patient with patent ventriculoperitoneal shunt.
abstract: We report a case of HeartMate II(®) left ventricular assist device (LVAD) implantation as a destination therapy in a patient with a patent ventriculoperitoneal (VP) shunt after being suffered from subarachnoid hemorrhage. Because the patient's VP shunt was running through her right anterior chest and abdominal wall, a driveline exit site was selected in her left upper quadrant to avoid unnecessary perioperative complication in relation to the patent VP shunt tube. Tailored driveline placement was a key element of this LVAD implantation in this already sick patient with multiple comorbidities.
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA. kentaro.yamane@jefferson.edu
authors.forename: Kentaro
authors.initials: K
authors.lastname: Yamane
authors.forename: Linda J
authors.initials: LJ
authors.lastname: Bogar
authors.forename: Shigeki
authors.initials: S
authors.lastname: Tabata
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Hirose
mesh_terms: D004867:Equipment Design; D005260:Female; D006333:Heart Failure / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D006353:Heart-Assist Devices; D006801:Humans; D008875:Middle Aged; D011474:Prosthesis Design; D013345:Subarachnoid Hemorrhage / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D016277:Ventricular Function, Left; D017287:Ventriculoperitoneal Shunt / Q000295:instrumentation