Division of Cardiac Surgery, Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padua, Italy.
Ann Thorac Surg. 2013 Aug;96(2):712-4. doi: 10.1016/j.athoracsur.2013.01.086.
Left ventricular assist device implantation might require extensive surgical incision and use of cardiopulmonary bypass. Less invasive implantation using smaller incision and extracorporeal membrane oxygenation perfusion in critically ill patients can decrease the rate of complications. One patient with cardiomyopathy received the Jarvik 2000 FlowMaker through an upper T-inverted ministernotomy and left minithoracotomy. The outflow-graft was connected to the ascending aorta, and the Jarvik 2000 was inserted through the apex of the left ventricle on beating heart. The power cable was routed percutaneously through the neck to a retroauricular skull-mounted pedestal.
左心室辅助装置的植入可能需要广泛的外科切口和心肺转流。在危重病患者中使用较小的切口和体外膜氧合灌注进行微创植入，可以降低并发症的发生率。一位心肌病患者通过上 T 型倒置小开胸术和左小开胸术接受了 Jarvik 2000 FlowMaker。流出移植物连接到升主动脉，Jarvik 2000 通过左心室心尖在跳动的心脏上插入。电源线通过颈部经皮穿过一个位于耳后的颅骨安装座。
