title: Off-pump left ventricular assist device exchange via re-do left mini-thoracotomy with original outflow graft preservation.
abstract: Complications associated with long-term left ventricular assist device (LVAD) use may require pump exchange due to device thrombosis or thromboembolism. Minimally invasive off-pump procedures represent an advantageous alternative to standard full sternotomy exchanges and those performed with the use of cardiopulmonary bypass. By mitigating surgical invasion and trauma to the central chest, the potential for post-operative bleeding, transfusions and complications can be reduced. This case report describes the successful off-pump exchange of a HeartWare LVAD via left re-do-thoracotomy with the re-use of the original outflow graft.
authors: 1 Department of Medical Pharmacology, University of Arizona College of Medicine, Tucson, Arizona, USA.
authors: Jessika
authors: J
authors: Iwanski
authors: 2 University of Arizona College of Medicine, Tucson, Arizona, USA.|3 Artificial Heart Program, Banner University Medical Center, Tucson, Arizona, USA.
authors: Phat L
authors: PL
authors: Tran
authors: 2 University of Arizona College of Medicine, Tucson, Arizona, USA.
authors: Catherine
authors: C
authors: Jerman
authors: 4 Department of Surgery, Division of Cardiothoracic Surgery, University of Arizona, Tucson, Arizona, USA.
authors: Richard
authors: R
authors: Smith
authors: 3 Artificial Heart Program, Banner University Medical Center, Tucson, Arizona, USA.|4 Department of Surgery, Division of Cardiothoracic Surgery, University of Arizona, Tucson, Arizona, USA.
authors: Toshinobu
authors: T
authors: Kazui
authors: 1 Department of Medical Pharmacology, University of Arizona College of Medicine, Tucson, Arizona, USA.|2 University of Arizona College of Medicine, Tucson, Arizona, USA.|3 Artificial Heart Program, Banner University Medical Center, Tucson, Arizona, USA.|4 Department of Surgery, Division of Cardiothoracic Surgery, University of Arizona, Tucson, Arizona, USA.
authors: Zain
authors: Z
authors: Khalpey
mesh_terms: D020878:Device Removal / Q000379:methods*; D006353:Heart-Assist Devices / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D019919:Prosthesis Implantation / Q000379:methods*; D013908:Thoracotomy / Q000379:methods*; D013927:Thrombosis / Q000209:etiology* / Q000628:therapy
keywords: HeartWare exchange; left ventricular assist device (LVAD); minimally-invasive; off-pump