Simplified, less-invasive left ventricular assist device implantation in patients with post-coronary artery bypass grafting.
Interact Cardiovasc Thorac Surg
; 28(3): 478-480, 2019 03 01.
Article
en En
| MEDLINE
| ID: mdl-30239891
ABSTRACT
Less-invasive left ventricular assist device implantation is becoming the technique of choice for implementation of new-generation heart pumps. The less-invasive technique is particularly useful for patients with a history of cardiac surgical procedures, such as coronary artery bypass grafting. Yet, in redo cases, severe pericardial adhesions may force experienced operators to opt for alternative outflow graft placement, such as in the descending aorta. We propose a surgical technique in which the left ventricular device is implanted through a limited thoracic incision, with the outflow graft anastomosed to the ascending aorta, avoiding collision with coronary bypass grafts. The key element of the proposed technique is a tunnel connecting 2 pleural cavities, in which the outflow graft is placed, entirely bypassing the pericardium.
Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Enfermedad de la Arteria Coronaria
/
Toracotomía
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Corazón Auxiliar
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Puente de Arteria Coronaria
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Procedimientos Quirúrgicos Mínimamente Invasivos
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Insuficiencia Cardíaca
Límite:
Humans
Idioma:
En
Revista:
Interact Cardiovasc Thorac Surg
Asunto de la revista:
ANGIOLOGIA
/
CARDIOLOGIA
Año:
2019
Tipo del documento:
Article
País de afiliación:
Polonia