Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Berlin, Germany.
ASAIO J. 2011 Jan-Feb;57(1):17-8. doi: 10.1097/MAT.0b013e318201a583.
Right ventricular (RV) support in the case of RV failure after left ventricular assist device (LVAD) implantation is a well-established surgical therapeutic option. However, there is a serious limitation of RV support after the insertion of a LVAD through lateral thoracotomy in patients who have undergone previous multiple cardiac operations. We describe a modified surgical approach for implantation of right ventricular assist devices (RVADs) via left lateral thoracotomy, with venous cannulation via a femoral vein and transpericardial outflow cannulation of the main pulmonary artery by Seldinger technique under echocardiographic monitoring. This technique was successfully used in a case with subsequent weaning from the RVAD after 10 days of support.
在左心室辅助装置（LVAD）植入后出现右心室（RV）衰竭的情况下，RV 支持是一种成熟的手术治疗选择。然而，对于既往接受过多次心脏手术的患者，通过经左侧开胸插入 LVAD 后，RV 支持存在严重限制。我们描述了一种通过左侧开胸植入右心室辅助装置（RVAD）的改良手术方法，通过股静脉进行静脉插管，并在超声心动图监测下使用 Seldinger 技术进行主肺动脉经心包外流出插管。该技术成功用于一例患者，在 10 天的支持后从 RVAD 成功脱机。
