Koene Ryan J, Liao Kenneth K, Eckman Peter M, John Ranjit
Department of Medicine, Cardiovascular Division, University of Minnesota, Minneapolis, MN, USA.
Department of Surgery, Division of Cardiothoracic Surgery, University of Minnesota, Minneapolis, MN, USA.
J Cardiol Cases. 2014 Nov 15;11(2):66-68. doi: 10.1016/j.jccase.2014.10.008. eCollection 2015 Feb.
We report a case in which a recipient of a HeartWare HVAD left ventricular assist device (HeartWare, Framingham, MA, USA) was unable to undergo standard outflow graft anastomosis to the ascending aorta due to severe aortic calcification. The outflow graft of the device was instead anastomosed to the descending aorta. < Not all left ventricular assist device (LVAD) patients are candidates for outflow graft anastomosis to the ascending aorta. We report a case in which a HeartWare LVAD outflow graft was anastomosed to the descending aorta. We review this approach described in other contemporary devices and animal models. We include reports on device explant and exchange.>.
我们报告了一例使用HeartWare HVAD左心室辅助装置（美国马萨诸塞州弗雷明汉市的HeartWare公司）的患者，由于严重的主动脉钙化，无法进行标准的流出道移植物与升主动脉的吻合。该装置的流出道移植物改为与降主动脉吻合。<并非所有左心室辅助装置（LVAD）患者都适合进行流出道移植物与升主动脉的吻合。我们报告了一例HeartWare LVAD流出道移植物与降主动脉吻合的病例。我们回顾了其他当代装置和动物模型中描述的这种方法。我们纳入了关于装置取出和更换的报告。>
