Temporary biventricular mechanical circulatory support utilizing a simple left ventricular apical cannulation technique. Issue 11 (10th September 2022)

• Record Type: Journal Article
• Authors: Nair, Lawrence; Senanayake, Eshan; Thomson, Bruce
• Is Part Of: Journal of cardiac surgery. Volume 37:Issue 11(2022)
• Page Start: 3967
• Page End: 3972
• Publication Date: 2022-09-10
• Subjects: perfusion -- transplant; Heart -- Surgery -- Periodicals; 617.412005
• DOI: 10.1111/jocs.16921
• Languages: English
• ISSNs: 0886-0440

Abstract

Abstract: Surgical management of cardiogenic shock, utilizing mechanical circulatory support, can provide a bridge to recovery, a bridge to decision‐making, and/or a bridge to transplantation. The management of advanced heart failure, employing either temporary or durable mechanical circulatory support, dominantly is directed towards supporting the left ventricular (LV) function. Unfortunately, right ventricular (RV) failure is not uncommon and significantly impacts morbidity and mortality. We demonstrate a technique to support biventricular failure, utilizing a simple LV apical cannulation technique, which may reduce thrombotic complications, and an RV cannulation strategy that offers the potential to improve recovery, in the form of early extubation, potential ambulation, and removal of the implanted device without having to reopen the patient's chest.