HeartMate 3 implantation via left antero-lateral thoracotomy to avoid resternotomy in high risk patients.

Détails

ID Serval
serval:BIB_97C14BFF27AC
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
HeartMate 3 implantation via left antero-lateral thoracotomy to avoid resternotomy in high risk patients.
Périodique
Multimedia manual of cardiothoracic surgery
Auteur(s)
Pfister R., Tozzi P., Hullin R., Yerly P., Jahns F.P., Prêtre R., Kirsch M.
ISSN
1813-9175 (Electronic)
ISSN-L
1813-9175
Statut éditorial
Publié
Date de publication
25/04/2018
Peer-reviewed
Oui
Volume
2018
Langue
anglais
Notes
Publication types: Case Reports ; Video-Audio Media
Publication Status: epublish
Résumé
Left ventricular assist devices (LVADs) are currently the best alternative to cardiac transplantation for patients with end-stage heart failure (HF) as a bridge to transplant or to decision, or as destination therapy. Full median sternotomy or minimally invasive techniques are the more standard approaches used at present.  LVADs are usually implanted between the left ventricle apex and the ascending aorta. An implantation through a left thoracotomy with an outflow graft connected to the descending aorta is much less performed nowadays due to the longer times to extubation, higher incidence of postoperative pain, and poorer hemodynamics in the ascending aorta, which may lead to thrombosis. However, some patients present a prohibitive risk for a medial approach. Also, many patients with a VAD will require future transplantation, and avoiding a sternotomy or crossing the mediastinum with the outflow graft can reduce the risks of the subsequent procedure in these patients. Various options for implantation may be used. Our described approach consists of implanting the left VAD (LVAD) via a left lateral thoracotomy and anastomosing the outflow graft to the descending aorta.
Mots-clé
Aged, Female, Heart Failure/physiopathology, Heart Failure/surgery, Heart Ventricles/surgery, Heart-Assist Devices, Hemodynamics, Humans, Male, Middle Aged, Prosthesis Implantation/methods, Reoperation, Sternotomy, Thoracotomy/methods
Pubmed
Création de la notice
06/10/2018 7:49
Dernière modification de la notice
20/08/2019 15:59
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