Anterior Approach to Implant the Jarvik 2000 With Retroauricular Power Supply Michael P. Siegenthaler, MD, Jürgen Martin, MD, Ralf Gutwald, MD, DMD, Roderich.

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Presentation transcript:

Anterior Approach to Implant the Jarvik 2000 With Retroauricular Power Supply Michael P. Siegenthaler, MD, Jürgen Martin, MD, Ralf Gutwald, MD, DMD, Roderich Bahr, MD, Stephen Westaby, MD, Rainer Schmelzeisen, MD, DMD, Friedhelm Beyersdorf, MD The Annals of Thoracic Surgery Volume 80, Issue 2, Pages 745-747 (August 2005) DOI: 10.1016/j.athoracsur.2004.02.117 Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Patient positioning for the anterior approach to implant the Jarvik 2000 (Jarvik Heart, Inc, New York, NY) is shown in a drawing (A) and in an intraoperative photograph (B). Because neck mobility is limited, the entire patient is turned about 30 degrees, with a roll placed under the left chest to gain access to the retroauricular area. The Annals of Thoracic Surgery 2005 80, 745-747DOI: (10.1016/j.athoracsur.2004.02.117) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 A 40F chest tube is used to pull the power cable of the Jarvik 2000 (Jarvik Heart, Inc, New York, NY) device from the sternotomy through the second interspace into the infraclavicular incision. The Annals of Thoracic Surgery 2005 80, 745-747DOI: (10.1016/j.athoracsur.2004.02.117) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 The surgical view after implantation of the permanent Jarvik 2000 (Jarvik Heart, Inc, New York, NY) shows the Dacron (DuPont, Wilmington, DE) outflow graft from the left-ventricular apex (top left) to the ascending aorta (bottom), as well as the power cable from the retroauricular area (black arrow), which crosses the field from the left chest. Note: the proximal coronary bypass anastomosis (white arrow) to the posterior descending coronary was based on the Dacron outflow graft of the Jarvik 2000 because of calcifications in the ascending aorta. The Annals of Thoracic Surgery 2005 80, 745-747DOI: (10.1016/j.athoracsur.2004.02.117) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions