Left ventricular assist device implantation via left thoracotomy: alternative to repeat sternotomy.
作者信息
Pierson Richard N, Howser Renee, Donaldson Terri, Merrill Walter H, Dignan Rebecca J, Drinkwater Davis C, Christian Karla G, Butler Javed, Chomsky Don, Wilson John R, Clark Rick, Davis Stacy F
机构信息
Department of Cardiothoracic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee 37232-5734, USA.
出版信息
Ann Thorac Surg. 2002 Mar;73(3):997-9. doi: 10.1016/s0003-4975(01)03448-8.
Repeat sternotomy for left ventricular assist device insertion may result in injury to the right heart or patent coronary grafts, complicating intraoperative and postoperative management. In 4 critically ill patients, left thoracotomy was used as an alternative to repeat sternotomy. Anastomosis of the outflow conduit to the descending thoracic aorta provided satisfactory hemodynamic support.
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