Loforte Antonio, Gliozzi Gregorio, Coppola Giuditta, Fiorentino Mariafrancesca, Martin Suarez Sofia, Pacini Davide
Department of Cardiothoracic, Transplantation and Vascular Surgery, S. Orsola Hospital, ALMA Mater Studiorum, University of Bologna, Via Massarenti n.9, 40138 Bologna, Italy.
Department of Cardiovascular Surgery S. Orsola-Malpighi Hospital Alma Mater Studiorum - University of Bologna Bologna Italy.
Multimed Man Cardiothorac Surg. 2019 Apr 12;2019. doi: 10.1510/mmcts.2019.012.
Left ventricular assist device graft protection and its intraoperative orientation continues to be a major concern in bridge-to-transplant strategy. Different techniques have been described, including the adoption of a standard full sternotomy approach. We describe our institutional experience of placement of the with HeartWare HVAD® implantable continuous flow pump, with outflow graft tunnelling through the transverse sinus to prepare patients in need of eventual re-sternotomy. Surgical tips are provided in the tutorial videos both for HVAD® placement, and for explantation at the time of heart transplantation.
左心室辅助装置移植物的保护及其术中定位仍然是桥接移植策略中的一个主要关注点。已经描述了不同的技术，包括采用标准的全胸骨切开术方法。我们描述了我们机构使用HeartWare HVAD®植入式连续流泵的经验，其流出移植物通过横窦隧道放置，为最终需要再次胸骨切开术的患者做准备。教程视频中提供了关于HVAD®植入以及心脏移植时取出的手术技巧。
