title: Minimally invasive access for off-pump HeartWare left ventricular assist device explantation.
abstract: The implantation of a left ventricular assist device as a bridge to transplantation is a well-established treatment of end-stage heart failure in selected patients. Device-related infection is a well-known complication that may require the removal of the device. We describe a minimally invasive explantation approach with complete removal of all components of a HeartWare left ventricular assist device in a patient with persistent infection related to the device.
authors.affiliation: Department of Cardiothoracic Transplantation & Mechanical Support, Harefield Hospital, Harefield, Hertfordshire, UK. d.garciasaez@rbht.nhs.uk
authors.forename: Diana
authors.initials: D
authors.lastname: García Sáez
authors.forename: Prashant N
authors.initials: PN
authors.lastname: Mohite
authors.forename: Bartlomiej
authors.initials: B
authors.lastname: Zych
authors.forename: Anton
authors.initials: A
authors.lastname: Sabashnikov
authors.forename: Rachel
authors.initials: R
authors.lastname: Hards
authors.forename: Andre R
authors.initials: AR
authors.lastname: Simon
authors.forename: Toufan
authors.initials: T
authors.lastname: Bahrami
mesh_terms: D020878:Device Removal / Q000379:methods*; D006333:Heart Failure / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D011475:Prosthesis Failure; D019919:Prosthesis Implantation / Q000295:instrumentation*; D013908:Thoracotomy; D016896:Treatment Outcome; D016277:Ventricular Function, Left
keywords: Circulatory assist devices; Minimally invasive surgery; Off-pump surgery