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Temporary Right Ventricular Assist Device Insertion via Left Thoracotomy after Left Ventricular Assist Device Implantation

  • Park, Ilkun (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Cho, Yang Hyun (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Chung, Su Ryeun (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jeong, Dong Seop (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Sung, Kiick (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Wook Sung (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Young Tak (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • Received : 2018.05.31
  • Accepted : 2018.11.14
  • Published : 2019.04.05

Abstract

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.

Keywords

References

  1. Kormos RL, Teuteberg JJ, Pagani FD, et al. Right ventricular failure in patients with the HeartMate II continuous-flow left ventricular assist device: incidence, risk factors, and effect on outcomes. J Thorac Cardiovasc Surg 2010;139:1316-24. https://doi.org/10.1016/j.jtcvs.2009.11.020
  2. Morgan JA, John R, Lee BJ, Oz MC, Naka Y. Is severe right ventricular failure in left ventricular assist device recipients a risk factor for unsuccessful bridging to transplant and post-transplant mortality. Ann Thorac Surg 2004;77:859-63. https://doi.org/10.1016/j.athoracsur.2003.09.048
  3. Strauch JT, Franke UF, Madershahian N, Wahlers T. Right ventricular assist device implantation: a new transcutaneous approach. Thorac Cardiovasc Surg 2004;52:378-9. https://doi.org/10.1055/s-2004-821321
  4. Stepanenko A, Potapov EV, Krabatsch T, Hetzer R. Simple implantation of a temporary right ventricular device for right ventricular failure after left ventricular device implantation via a left lateral thoracotomy. ASAIO J 2011;57:17-8. https://doi.org/10.1097/MAT.0b013e318201a583
  5. Minami K, Bonkohara Y, Arusoglu L, El-Banayosy A, Korfer R. New technique for the outflow cannulation of right ventricular assist device. Ann Thorac Surg 1999;68:1092-3. https://doi.org/10.1016/S0003-4975(99)00789-4
  6. Schmack B, Weymann A, Popov AF, et al. Concurrent left ventricular assist device (LVAD) implantation and percutaneous temporary RVAD support via CardiacAssist Protek-Duo TandemHeart to preempt right heart failure. Med Sci Monit Basic Res 2016;22:53-7. https://doi.org/10.12659/MSMBR.898897