title: Outflow graft thrombectomy during HeartMate II left ventricular assist device exchange.
abstract: We report the pump exchange secondary to a detached bend relief sheath of a HeartMate II (Thoratec Corporation, Pleasanton, CA, USA) left ventricular assist device, consistent with previous Food and Drug Administration warnings. This report highlights a thrombectomy technique and reuse of the outflow graft during subcostal pump exchange in a patient with relative contraindications to repeat sternotomy.
authors.affiliation: Departments of Anesthesiology and Surgery, University of Florida College of Medicine, Gainesville, FL, USA.
authors.forename: Kent B
authors.initials: KB
authors.lastname: Berg
authors.affiliation: Departments of Anesthesiology and Surgery, University of Florida College of Medicine, Gainesville, FL, USA charles.klodell@surgery.ufl.edu.
authors.forename: Charles T
authors.initials: CT
authors.lastname: Klodell
mesh_terms: D000368:Aged; D000075202:Contraindications; D003646:Debridement; D020878:Device Removal / Q000379:methods*; D006333:Heart Failure / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D006353:Heart-Assist Devices / Q000009:adverse effects*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D056346:Sternotomy; D017131:Thrombectomy / Q000295:instrumentation / Q000379:methods*; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome; D062666:Vascular Access Devices; D016277:Ventricular Function, Left
keywords: Left ventricular assist device; Pump exchange; Thrombosis