Less-invasive off-pump ventricular assist device implantation in regional paravertebral analgesia.
We describe the clinical course and treatment of a 58-year-old male with a primary cardiogenic shock, who underwent a minimally invasive off-pump ventricular-assist-device (VAD) implantation with the aid of paravertebral regional analgesia. He was extubated soon after the procedure, in the operating room, with the aim to reduce the right ventricle impairment. We illustrate how a minimally invasive implant may improve the clinical outcomes of VAD patients shortening their return time to active life.
Department of Cardiology and Cardiovascular Surgery, University of Padova Medical School, Padova, Italy, tbottio@gmail.com.
Tomaso
T
Bottio
Jonida
J
Bejko
Gianclaudio
G
Falasco
Giacomo
G
Bortolussi
Michele
M
Gallo
Vincenzo
V
Tarzia
Gino
G
Gerosa
D000698:Analgesia / Q000379:methods*; D000765:Anesthesia, Conduction / Q000379:methods*; D005500:Follow-Up Studies; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000379:methods*; D012770:Shock, Cardiogenic / Q000601:surgery*