Left Ventricular Assist Device Implantation Through Thoracotomy And Mini Sternotomy
Tanıl Özer, Ozge Altas, Deniz Gunay, Mehmet Aksut, Emre Selcuk, Sabit Sarikaya, Mehmet Kaan Kırali.
Kartal Kosuyolu High Specialization Education and Research Hsopital, Istanbul, Turkey.
Objective: Left Ventricular Assist Device Implantation is commonly performed through full sternotomy. This technique needs open pericardium fully and massive cardiac deviation to reach left ventricular apex. However ministernotomy and thoracotomy technique prevent heart from these negative effects. Methods: 22 patients underwent LVAD implantation through thoracotomy and ministernotomy. 9 patients were previously undergone to an open heart surgery. HeartMate 3 was implanted to 9 patients while HeartWare was implanted to others. Results: One patient was lost. Mean ICU stay was 3.2 days. Patients were discharged from hospital after mean 7,8 days. Conclusion: LVAD implantation via thoracotomy and ministernotomy can safely be performed to both primer and redo cases.
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