Alternative technique of right-sided outflow cannula insertion for right ventricular support  Todd M Dewey, MD, Jonathan M Chen, MD, Talia B Spanier,

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Alternative technique of right-sided outflow cannula insertion for right ventricular support  Todd M Dewey, MD, Jonathan M Chen, MD, Talia B Spanier, MD, Mehmet C Oz, MD  The Annals of Thoracic Surgery  Volume 66, Issue 5, Pages 1829-1830 (November 1998) DOI: 10.1016/S0003-4975(98)00746-2

Fig 1 Photograph of ABIOMED cannula insertion through the right ventricular free wall. Note the puckered appearance of the right ventricle, which is gathered around the right ventricular assist device cannula. The inflow cannula to the left-sided device is seen entering the apex of the heart, our preferred approach. The left-sided outflow graft courses to the right of the right ventricular assist device outflow cannula and is sewn to the greater curvature of the aorta. The Annals of Thoracic Surgery 1998 66, 1829-1830DOI: (10.1016/S0003-4975(98)00746-2)

Fig 2 Illustration of right ventricular assist device outflow cannula traversing the pulmonary valve. Note that the end of the cannula is proximal to the bifurcation of the pulmonary artery. Although significant pulmonic valve insufficiency has been reported, we have not experienced it. The Annals of Thoracic Surgery 1998 66, 1829-1830DOI: (10.1016/S0003-4975(98)00746-2)