title: Robotic-assisted implantation of ventricular assist device after sternectomy and pectoralis muscle flap.
abstract: Left ventricular assist devices are increasingly important in the management of advanced heart failure. Most patients who benefit from these devices have had some prior cardiac surgery, making implantation of higher risk. This is especially true in patients who have had prior pectoralis flap reconstruction after sternectomy for mediastinitis. We outline the course of such a patient, in whom the use of robotic assistance allowed for a less invasive device implantation approach with preservation of the flap for transplantation.
authors: From the *Department of Cardiothoracic Surgery and †Department of BioMedical Engineering, University of Arizona, Tucson, AZ; ‡Department of Cardiothoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany; §Department of Anesthesia, ‖Division of Cardiology, Sarver Heart Center, and ¶Department of Physiological Sciences, University of Arizona, Tucson, Arizona.
authors: Zain
authors: Z
authors: Khalpey
authors: Nicole
authors: N
authors: Sydow
authors: Samata
authors: S
authors: Paidy
authors: Marvin J
authors: MJ
authors: Slepian
authors: Mark
authors: M
authors: Friedman
authors: Anthony
authors: A
authors: Cooper
authors: Katherine M
authors: KM
authors: Marsh
authors: Jan D
authors: JD
authors: Schmitto
authors: Robert
authors: R
authors: Poston
mesh_terms: D000368:Aged; D006333:Heart Failure / Q000601:surgery; D016027:Heart Transplantation; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D010369:Pectoralis Muscles / Q000601:surgery; D012086:Reoperation; D065287:Robotic Surgical Procedures / Q000379:methods*; D056346:Sternotomy / Q000379:methods; D013524:Surgical Flaps