title: Implantation of a left ventricular assist device in patients with a complex apical anatomy.
abstract: Implantation of a left ventricular assist device can be challenging in patients with an altered apical anatomy after cardiac surgery or as the result of the presence of a calcified apical aneurysm. In this paper we present 2 cases with a challenging apical anatomy and introduce a new surgical technique facilitating left ventricular assist device implantation in these patients.
authors.affiliation: Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands. m.palmen@lumc.nl
authors.forename: Meindert
authors.initials: M
authors.lastname: Palmen
authors.forename: Harriette F
authors.initials: HF
authors.lastname: Verwey
authors.forename: Marlieke L A
authors.initials: ML
authors.lastname: Haeck
authors.forename: Eduard R
authors.initials: ER
authors.lastname: Holman
authors.forename: Martin J
authors.initials: MJ
authors.lastname: Schalij
authors.forename: Robert J M
authors.initials: RJ
authors.lastname: Klautz
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods*; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D005500:Follow-Up Studies; D006322:Heart Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging; D006333:Heart Failure / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000601:surgery*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000379:methods*