Patrick Tansley, BSc(Hons), FRCS(Eng), Magdi Yacoub, FRS

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Presentation transcript:

Minimally invasive explantation of implantable left ventricular assist devices Patrick Tansley, BSc(Hons), FRCS(Eng), Magdi Yacoub, FRS The Journal of Thoracic and Cardiovascular Surgery Volume 124, Issue 1, Pages 189-191 (July 2002) DOI: 10.1067/mtc.2002.122786 Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

Fig. 1 Diagram showing sites of minimally invasive incisions and arteriovenous cannulation in groin. The Journal of Thoracic and Cardiovascular Surgery 2002 124, 189-191DOI: (10.1067/mtc.2002.122786) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

Fig. 2 Diagram showing dissection of inflow cannula through minimally invasive anterior thoracotomy. Cannula is then extracted during short period of cardiopulmonary bypass. The Journal of Thoracic and Cardiovascular Surgery 2002 124, 189-191DOI: (10.1067/mtc.2002.122786) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

Fig. 3 Drive line is divided close to device and is removed by traction from outside. The Journal of Thoracic and Cardiovascular Surgery 2002 124, 189-191DOI: (10.1067/mtc.2002.122786) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

Fig. 4 Body of device is explanted after dissection around diaphragmatic passage of inflow cannula. Outflow cannula is exposed through anterior thoracotomy, then clamped and divided as close as possible to the ascending aorta. Stump is oversewn. An inset to Figure 4 is shown on the right. The Journal of Thoracic and Cardiovascular Surgery 2002 124, 189-191DOI: (10.1067/mtc.2002.122786) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

Fig. 5 Finally, device is completely removed by traction on outflow graft from below. The Journal of Thoracic and Cardiovascular Surgery 2002 124, 189-191DOI: (10.1067/mtc.2002.122786) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions