Left Ventricular Assist Device Implantation in a Patient with Ventricular Pseudoaneurysm.

Left ventricular assist device (LVAD) implantation after contained LV rupture (pseudoaneurysm) represents a difficult surgical problem.  We describe the surgical approach for such a patient. The sewing ring was implanted utilizing a Dacron patch for reconstruction of the free wall, fibrotic LV wall remnants, and a Teflon strip giving additional support for cannula position and hemostasis. The patient had an uneventful recovery and is well 19 months after the procedure.  LV pseudoaneurysm is not a contraindication for permanent LVAD implantation.