Implantation technique for the Novacor left ventricular assist system

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Presentation transcript:

Implantation technique for the Novacor left ventricular assist system D.Glenn Pennington, MD, Lawrence R. McBride, MD, Marc T. Swartz The Journal of Thoracic and Cardiovascular Surgery Volume 108, Issue 4, Pages 604-608 (October 1994) DOI: 10.5555/uri:pii:S0022522394702829 Copyright © 1994 Mosby, Inc. Terms and Conditions

Fig. 1 The skin incision extends longitudinally from the suprasternal notch to 2 cm below the umbilicus. The Journal of Thoracic and Cardiovascular Surgery 1994 108, 604-608DOI: (10.5555/uri:pii:S0022522394702829) Copyright © 1994 Mosby, Inc. Terms and Conditions

Fig. 2 A, The left and right anterior rectus fascia have been longitudinally incised lateral to the linea alba. A plane is developed posterior to the rectus abdominis muscles. B, The rectus abdominis muscle has been retracted and a pocket developed along the posterior rectus sheath. The Journal of Thoracic and Cardiovascular Surgery 1994 108, 604-608DOI: (10.5555/uri:pii:S0022522394702829) Copyright © 1994 Mosby, Inc. Terms and Conditions

Fig. 2 A, The left and right anterior rectus fascia have been longitudinally incised lateral to the linea alba. A plane is developed posterior to the rectus abdominis muscles. B, The rectus abdominis muscle has been retracted and a pocket developed along the posterior rectus sheath. The Journal of Thoracic and Cardiovascular Surgery 1994 108, 604-608DOI: (10.5555/uri:pii:S0022522394702829) Copyright © 1994 Mosby, Inc. Terms and Conditions

Fig. 3 A, Buttressed 2-0 Ethibond sutures are placed circumferentially around ventricular apex. B, The apical ring has been secured and a stab incision made in the ventricular apex.C, A Foley catheter, which has been passed through a cork borer, is inserted into the ventricle. D, A core of myocardial tissue has been excised. The Journal of Thoracic and Cardiovascular Surgery 1994 108, 604-608DOI: (10.5555/uri:pii:S0022522394702829) Copyright © 1994 Mosby, Inc. Terms and Conditions

Fig. 4 The Novacor pump has been inserted in the pocket. The right and left anterior rectus fascia have been closed anterior to the pump. The Journal of Thoracic and Cardiovascular Surgery 1994 108, 604-608DOI: (10.5555/uri:pii:S0022522394702829) Copyright © 1994 Mosby, Inc. Terms and Conditions

Fig. 5 The Novacor LVAS in place. The power cable exits in the right upper quadrant. The Journal of Thoracic and Cardiovascular Surgery 1994 108, 604-608DOI: (10.5555/uri:pii:S0022522394702829) Copyright © 1994 Mosby, Inc. Terms and Conditions