Park Ilkun, Cho Yang Hyun, Chung Su Ryeun, Jeong Dong Seop, Sung Kiick, Kim Wook Sung, Lee Young Tak
Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Korean J Thorac Cardiovasc Surg. 2019 Apr;52(2):105-108. doi: 10.5090/kjtcs.2019.52.2.105. Epub 2019 Apr 5.
Right heart failure is a relatively common complication after left ventricular assist device (LVAD) implantation. Severe right heart failure can be managed by temporary right ventricular assist device (RVAD) implantation. However, trans-sternal RVAD insertion requires a subsequent third sternotomy for cannula removal. Herein, we present a case of RVAD insertion via a left anterior mini-thoracotomy after LVAD implantation in a patient with alcohol-induced cardiomyopathy.
右心衰竭是左心室辅助装置(LVAD)植入术后相对常见的并发症。严重的右心衰竭可通过临时植入右心室辅助装置(RVAD)来处理。然而,经胸骨的RVAD植入需要后续进行第三次胸骨切开术以移除插管。在此,我们报告一例酒精性心肌病患者在LVAD植入术后通过左前小切口开胸植入RVAD的病例。