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Expeditious and less traumatic explantation of a heartware LVAD after myocardial recovery


Schweiger, Martin; Potapov, Evgenij; Vierecke, Juliane; Stepanenko, Alexander; Hetzer, Roland; Krabatsch, Thomas (2012). Expeditious and less traumatic explantation of a heartware LVAD after myocardial recovery. ASAIO Journal, 58(5):542-544.

Abstract

After 169 days on left ventricular assist device (LVAD) support, a 62-year-old male patient suffering from idiopathic dilatative cardiomyopathy showed signs of left ventricular recovery. Off-pump trials were done, and our explantation criteria were met. The LVAD removal procedure was performed after 338 days on the device, using a left lateral thoracotomy in the sixth intercostal space. First, the outflow graft was transected and the distal end was sewed. Then, the pump was replaced by an individually manufactured titanium plug. Finally, the driveline was cut so that the device could be completely withdrawn. The rest of the driveline was accessed through a small abdominal incision and explanted through the percutaneous exit site.

Abstract

After 169 days on left ventricular assist device (LVAD) support, a 62-year-old male patient suffering from idiopathic dilatative cardiomyopathy showed signs of left ventricular recovery. Off-pump trials were done, and our explantation criteria were met. The LVAD removal procedure was performed after 338 days on the device, using a left lateral thoracotomy in the sixth intercostal space. First, the outflow graft was transected and the distal end was sewed. Then, the pump was replaced by an individually manufactured titanium plug. Finally, the driveline was cut so that the device could be completely withdrawn. The rest of the driveline was accessed through a small abdominal incision and explanted through the percutaneous exit site.

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8 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Children's Hospital Zurich > Clinic for Surgery
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2012
Deposited On:01 Mar 2013 20:28
Last Modified:05 Apr 2016 16:35
Publisher:Lippincott, Williams & Wilkins
ISSN:1058-2916
Publisher DOI:https://doi.org/10.1097/MAT.0b013e3182640dce
PubMed ID:22951896

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