左开胸HeartWare 植入术，流出道移植物与降主动脉吻合：为多次胸骨切开术患者提供的简化桥接。
Left thoracotomy HeartWare implantation with outflow graft anastomosis to the descending aorta: a simplified bridge for patients with multiple previous sternotomies.
机构信息
From the *Division of Cardiovascular Surgery, Vanderbilt University Medical Center, Nashville, TN; †Department of Cardiology, Vanderbilt University Medical Center, Nashville, TN; and ‡Division of Cardiovascular Surgery, Mayo Clinic College of Medicine, Rochester, MN.
出版信息
ASAIO J. 2013 Nov-Dec;59(6):664-7. doi: 10.1097/MAT.0b013e3182a708d1.
Advances in mechanical circulatory support have been critical in bridging patients awaiting heart transplantation. In addition, improvement in device durability has enabled left ventricular assist device therapy to be applied as destination therapy in those not felt to be transplant candidate. Because of the increasing complexity of patients, there continues to be a need for alternative strategies for device implantation to bridge high-risk patients awaiting heart transplantation, wherein the risks of numerous previous sternotomies may be prohibitive. We present a unique technique for placement of the HeartWare ventricular assist device via left anterior thoracotomy to the descending aorta in a patient awaiting heart transplantation with a history of multiple previous sternotomies.
机械循环支持的进步对于桥接等待心脏移植的患者至关重要。此外，设备耐用性的提高使得左心室辅助设备治疗可以作为非移植候选者的终末期治疗。由于患者的复杂性不断增加，仍然需要替代设备植入策略来桥接等待心脏移植的高危患者，其中多次先前胸骨切开术的风险可能是不可接受的。我们提出了一种通过左前侧开胸术将 HeartWare 心室辅助装置放置到降主动脉的独特技术，该患者有多次先前胸骨切开术史，正在等待心脏移植。
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