Repeat left ventricular assist device exchange with inflow or outflow correction for recurrent pump thrombosis and cerebral haemorrhage through limited incisions. (27th March 2018)

• Record Type: Journal Article
• Authors: Radwan, Medhat; Risteski, Petar; Hoffmann, Richard; Popov, Aron-Frederik
• Is Part Of: European journal of cardio-thoracic surgery. Volume 54:Number 4(2018)
• Page Start: 781
• Page End: 783
• Publication Date: 2018-03-27
• Subjects: Left ventricular assist device exchange -- Minimal invasive correction -- Complications -- New technique; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Periodicals; 617.54
• DOI: 10.1093/ejcts/ezy129
• Languages: English
• ISSNs: 1010-7940

Abstract

Abstract: Left ventricular assist devices (LVADs) may require subsequent pump exchange due to device thrombosis or thromboembolism. A limited left thoracotomy may offer advantages over standard full sternotomy in redo procedures by preserving pristine median access and decreasing the potential for re-entry injuries, postoperative bleeding and transfusion requirements. We describe repeat LVAD exchange via the left limited thoracotomy with outflow graft anastomosis to the left subclavian artery with the correction of LVAD inflow cannula angulation following recurrent LVAD thromboses.