title: Successful replacement of a HeartAssist 5 ventricular assist device with a HeartWare without removal of the original sewing/attachment rings: how to do it.
abstract: Despite technological advances in a newer generation of ventricular assist devices (VAD), complications, such as pump thromboses, remain a significant cause of morbidity and indeed mortality in these patients. We present the case of a 34-year old patient who underwent HeartAssist 5 (HA5) implantation as a bridge to cardiac transplant. After an initial uneventful recovery, he developed a pump thrombosis that was refractory to medical treatment. We present the surgical technique used to exchange the HA5 with a HeartWare (HVAD), leaving the old inflow-sewing ring in situ.
authors: Department of Cardiothoracic Transplantation and Mechanical Support, Royal Brompton and Harefield NHS Trust, Harefield Hospital, Harefield, Middlesex, UK. d.garciasaez@rbht.nhs.uk
authors: Diana
authors: D
authors: García Sáez
authors: Prashant
authors: P
authors: Mohite
authors: Bartlomeij
authors: B
authors: Zych
authors: Anton
authors: A
authors: Sabashnikov
authors: André R
authors: AR
authors: Simon
mesh_terms: D000328:Adult; D020878:Device Removal; D016027:Heart Transplantation; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D011475:Prosthesis Failure; D019919:Prosthesis Implantation / Q000295:instrumentation*; D012086:Reoperation; D012770:Shock, Cardiogenic / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D013536:Suture Techniques; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D016277:Ventricular Function, Left; D014850:Waiting Lists
keywords: Circulatory assist devices