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Surgical Technique for Replacement of Centrifugal Left Ventricular Assist Device Through a Left Thoracotomy  Carmelo A. Milano, MD  The Annals of Thoracic.

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Presentation on theme: "Surgical Technique for Replacement of Centrifugal Left Ventricular Assist Device Through a Left Thoracotomy  Carmelo A. Milano, MD  The Annals of Thoracic."— Presentation transcript:

1 Surgical Technique for Replacement of Centrifugal Left Ventricular Assist Device Through a Left Thoracotomy  Carmelo A. Milano, MD  The Annals of Thoracic Surgery  Volume 101, Issue 2, Pages e55-e56 (February 2016) DOI: /j.athoracsur Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 A left anterior thoracotomy is performed over the pump. A segment of the bend relief is removed. Cardiopulmonary bypass is established with peripheral cannulation. *The bend relief and sewing ring screws are identified and freed of pannus with electrocautery. The Annals of Thoracic Surgery  , e55-e56DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Thoracotomy with old HVAD pump removed. The old outflow graft is retained and will be attached to the new pump with a shortened bend relief segment. The old sewing ring is retained and is inspected to ensure that its attachment to the ventricle has not been disrupted. The Annals of Thoracic Surgery  , e55-e56DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

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