HeartMate 3 left ventricular assist device implant after excision of a large apical aneurysm.

Left ventricular aneurysm ventricular assist device

Journal

Proceedings (Baylor University. Medical Center)
ISSN: 0899-8280
Titre abrégé: Proc (Bayl Univ Med Cent)
Pays: United States
ID NLM: 9302033

Informations de publication

Date de publication:
Jul 2020
Historique:
received: 14 02 2020
revised: 16 04 2020
accepted: 20 04 2020
entrez: 18 7 2020
pubmed: 18 7 2020
medline: 18 7 2020
Statut: epublish

Résumé

The presence of a left ventricular apical aneurysm may pose a technical challenge during implantation of a left ventricular assist device (LVAD). We describe implantation of a HeartMate III LVAD under cardioplegic arrest. A ventricular aneurysmectomy was performed and the LVAD was implanted at the left ventricular apex at the level of the transition zone between the scar tissue and the viable myocardium. Two pursestring 2-0 Prolene Fontan sutures were placed circumferentially at the transition zone to make up for the size discrepancy between the left ventricular opening and the HeartMate 3 pump. The echocardiographic analysis demonstrated optimal inflow cannula orientation, and the patient had an uneventful recovery.

Identifiants

pubmed: 32675986
doi: 10.1080/08998280.2020.1759334
pii: 1759334
pmc: PMC7340437
doi:

Types de publication

Case Reports

Langues

eng

Pagination

455-456

Informations de copyright

Copyright © 2020 Baylor University Medical Center.

Références

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N Engl J Med. 2018 Aug 30;379(9):897
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Ann Thorac Surg. 2012 Dec;94(6):2122-5
pubmed: 23176931
Circ Heart Fail. 2011 Jul;4(4):e14-5
pubmed: 21772013
J Am Coll Cardiol. 2004 Oct 6;44(7):1439-45
pubmed: 15464325

Auteurs

Themistokles Chamogeorgakis (T)

Division of Cardiac Surgery, Henry Ford HospitalDetroitMichigan.

Konstantinos Kostopanagiotou (K)

Attikon University HospitalAthensGreece.

Allison Behler (A)

Division of Cardiac Surgery, Henry Ford HospitalDetroitMichigan.

Dimitrios Apostolou (D)

Division of Cardiac Surgery, Henry Ford HospitalDetroitMichigan.

Classifications MeSH