Deutsches Herzzentrum Berlin, Germany.
ASAIO J. 2012 Sep-Oct;58(5):542-4. doi: 10.1097/MAT.0b013e3182640dce.
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 Finally, the driveline was cut so that the device could be completely withdrawn.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.
在左心室辅助装置（LVAD）支持 169 天后，一位患有特发性扩张型心肌病的 62 岁男性患者出现左心室恢复的迹象。进行了非体外循环试验，并且我们的取出标准得到了满足。LVAD 去除程序在设备上使用了 338 天后进行，使用第六肋间的左侧侧开胸术。首先，横断流出移植血管并缝合其远端。然后，用定制的钛塞更换泵。最后，切断动力线，以便完全撤出设备。通过小的腹部切口访问其余的动力线，并通过经皮出口部位取出。
