Division of Thoracic and Cardiovascular Surgery, University of Virginia Medical Center, Charlottesville, Virginia.
Division of Thoracic and Cardiovascular Surgery, University of Virginia Medical Center, Charlottesville, Virginia.
Ann Thorac Surg. 2018 Jul;106(1):e15-e17. doi: 10.1016/j.athoracsur.2018.02.014. Epub 2018 Mar 9.
Utilization of a left ventricular assist device as a bridge to myocardial recovery is an established therapy for acute systolic heart failure. However, device removal can present a technical challenge, with no clear consensus on preferred method. In this case report, we describe a complex patient who underwent successful explantation of a left ventricular assist device using an intraoperatively constructed apical plug. This method utilizes inexpensive and easily accessible materials, minimizes ventricular distortion during device removal, and preserves the ventricular sewing ring for future reimplantation.
将左心室辅助装置（LVAD）用作急性收缩性心力衰竭的心肌恢复的桥接治疗方法已得到广泛应用。然而，移除该设备可能会带来技术挑战，目前对于首选方法尚无明确共识。在本病例报告中，我们描述了一位复杂的患者，成功地使用术中构建的心尖塞进行了 LVAD 的心脏辅助装置取出。该方法利用了廉价且易于获取的材料，在移除设备过程中最小化心室变形，并保留心室缝合环以备将来重新植入。
