title: Laparoscopic nephroureterectomy in a patient with a left ventricular assist device.
abstract: Left ventricular assist device (LVAD) therapy is an established treatment option for select patients with advanced heart failure. Advances in technology and patient management have resulted in improved post-implant outcomes. Consequently, more patients with LVADs are presenting for evaluation and care of non-cardiac surgical disease. However, there is a paucity of literature regarding the optimal perioperative and surgical management of such patients. We present the case of a 71-year-old male with a HeartMate II (Thoratec Corporation, Pleasanton, CA) LVAD, who underwent a laparoscopic left nephroureterectomy for an upper urinary tract transitional cell carcinoma. His perioperative course was uneventful due to the multidisciplinary efforts of cardiac surgery, cardiac anesthesia, nephrology and urology. To our knowledge, this is the first reported case of a laparoscopic nephroureterectomy in a patient with a HeartMate II LVAD.
authors.affiliation: Section of Urology, Department of Surgery, University of Manitoba, Winnipeg, MB;
authors.forename: Jasmir G
authors.initials: JG
authors.lastname: Nayak
authors.affiliation: Section of Cardiac Surgery, Department of Surgery, University of Manitoba, Winnipeg, MB;
authors.forename: Christopher W
authors.initials: CW
authors.lastname: White
authors.affiliation: Department of Anesthesia, University of Manitoba, Winnipeg, MB.
authors.forename: Wayne
authors.initials: W
authors.lastname: Nates
authors.affiliation: Section of Urology, Department of Surgery, University of Manitoba, Winnipeg, MB;
authors.forename: Rajan
authors.initials: R
authors.lastname: Sharda
authors.affiliation: Section of Cardiac Surgery, Department of Surgery, University of Manitoba, Winnipeg, MB;
authors.forename: David
authors.initials: D
authors.lastname: Horne
authors.affiliation: Section of Urology, Department of Surgery, University of Manitoba, Winnipeg, MB;
authors.forename: Kam
authors.initials: K
authors.lastname: Kaler
authors.affiliation: Section of Cardiac Surgery, Department of Surgery, University of Manitoba, Winnipeg, MB;
authors.forename: Mark
authors.initials: M
authors.lastname: Lytwyn
authors.affiliation: Department of Anesthesia, University of Manitoba, Winnipeg, MB.
authors.forename: Hilary P
authors.initials: HP
authors.lastname: Grocott
authors.affiliation: Section of Cardiac Surgery, Department of Surgery, University of Manitoba, Winnipeg, MB;
authors.forename: Darren H
authors.initials: DH
authors.lastname: Freed
authors.affiliation: Section of Urology, Department of Surgery, University of Manitoba, Winnipeg, MB;
authors.forename: Thomas
authors.initials: T
authors.lastname: McGregor