title: Off-pump HeartWare ventricular assist device implantation with outflow graft anastomosis to the left subclavian artery.
abstract: A novel, off-pump implantation technique for the HeartWare ventricular assist device with outflow graft anastomosis to the left subclavican artery is described. Cannulation of the left ventricular apex is performed through an incision in the left fourth or fifth intercostal space. The outflow graft is anastomosed to the left subclavian artery after tunneling through the left thoracic cavity and the first intercostal space. This technique is especially appealing in redo cases as well as in patients with significant calcifications of the ascending aorta or in destination-therapy patients.
authors.affiliation: Department of Cardiac Surgery, Medical University Vienna, Vienna, Austria.
authors.forename: Julia
authors.initials: J
authors.lastname: Riebandt
authors.affiliation: Department of Cardiac Surgery, Medical University Vienna, Vienna, Austria.
authors.forename: Thomas
authors.initials: T
authors.lastname: Haberl
authors.affiliation: Department of Cardiac Surgery, Medical University Vienna, Vienna, Austria.
authors.forename: Stephane
authors.initials: S
authors.lastname: Mahr
authors.affiliation: Department of Anesthesia, General Intensive Care and Pain Management, Medical University Vienna, Vienna, Austria.
authors.forename: Angela
authors.initials: A
authors.lastname: Rajek
authors.affiliation: Department of Cardiac Surgery, Medical University Vienna, Vienna, Austria.
authors.forename: Guenther
authors.initials: G
authors.lastname: Laufer
authors.affiliation: Department of Cardiac Surgery, Medical University Vienna, Vienna, Austria; Center for Medical Physics and Biomedical Engineering, Medical University Vienna, Vienna, Austria.
authors.forename: Heinrich
authors.initials: H
authors.lastname: Schima
authors.affiliation: Department of Cardiac Surgery, Medical University Vienna, Vienna, Austria. Electronic address: daniel.zimpfer@meduniwien.ac.at.
authors.forename: Daniel
authors.initials: D
authors.lastname: Zimpfer
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods*; D006353:Heart-Assist Devices; D006801:Humans; D019919:Prosthesis Implantation / Q000379:methods*; D013348:Subclavian Artery / Q000601:surgery*