title: Mitral commissurotomy through the left ventricle apical orifice with Heart Ware left ventricular assist device implantation.
abstract: Diseased, replaced or repaired mitral valve can lead to restricted blood flow to left ventricle and inadequate flow in left ventricular assist device (LVAD). A middle age woman with 'burnt out' hypertrophic cardiomyopathy had mitral valve repair for mitral regurgitation. She needed LVAD to support severe decompensating heart failure. Repaired mitral valve posed a risk of restricted flow through the device. Mitral commissurotomy was performed on beating heart through the left ventricular apical hole created for insertion of inflow cannula of LVAD.
authors.affiliation: Department of Cardiothoracic Transplantation & Mechanical Support, Royal Brompton and Harefield NHS Trust, Harefield, Hill End Road, London UB9 6JH, UK.
authors.forename: Prashant Nanasaheb
authors.initials: PN
authors.lastname: Mohite
authors.forename: Bartlomiej
authors.initials: B
authors.lastname: Zych
authors.forename: Aron Frederik
authors.initials: AF
authors.lastname: Popov
authors.forename: Nikhil
authors.initials: N
authors.lastname: Patil
authors.forename: Suvitesh
authors.initials: S
authors.lastname: Luthra
authors.forename: Mike
authors.initials: M
authors.lastname: Hedger
authors.forename: Andre Ruediger
authors.initials: AR
authors.lastname: Simon
authors.forename: Mohammed
authors.initials: M
authors.lastname: Amrani
mesh_terms: D000328:Adult; D002312:Cardiomyopathy, Hypertrophic / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D003937:Diagnosis, Differential; D004452:Echocardiography; D005260:Female; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006353:Heart-Assist Devices; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D056346:Sternotomy