• ASAIO J. · Nov 2013

    Case Reports

    Left thoracotomy HeartWare implantation with outflow graft anastomosis to the descending aorta: a simplified bridge for patients with multiple previous sternotomies.

    • Ramanan Umakanthan, Nicholas A Haglund, John M Stulak, Lyle D Joyce, Rashid Ahmad, Mary E Keebler, and Simon Maltais.
    • From the *Division of Cardiovascular Surgery, Vanderbilt University Medical Center, Nashville, TN; †Department of Cardiology, Vanderbilt University Medical Center, Nashville, TN; and ‡Division of Cardiovascular Surgery, Mayo Clinic College of Medicine, Rochester, MN.
    • ASAIO J. 2013 Nov 1; 59 (6): 664-7.

    AbstractAdvances in mechanical circulatory support have been critical in bridging patients awaiting heart transplantation. In addition, improvement in device durability has enabled left ventricular assist device therapy to be applied as destination therapy in those not felt to be transplant candidate. Because of the increasing complexity of patients, there continues to be a need for alternative strategies for device implantation to bridge high-risk patients awaiting heart transplantation, wherein the risks of numerous previous sternotomies may be prohibitive. We present a unique technique for placement of the HeartWare ventricular assist device via left anterior thoracotomy to the descending aorta in a patient awaiting heart transplantation with a history of multiple previous sternotomies.

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