1. Hybrid approach to HeartMate II left ventricular assist device exchange 
Tomasz A. Timek, MD, Robert L. Hooker, MD, Asghar Khaghani, MD, William Merhi, MD 
The Journal of Thoracic and Cardiovascular Surgery 
Volume 145, Issue 3, Pages (March 2013)
DOI: /j.jtcvs
Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

2. Figure 1
Surgical exposure through subxiphoid (A) and left subcostal (B) incisions for access to the outflow and inflow portions of the left ventricular assist device.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs )
Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

3. Figure 2
A, Inflation of balloon in outflow graft to facilitate device removal. B, Placement of deairing pigtail catheter after device exchange.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs )
Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

4. Figure 3
Surgical incisions after skin approximation (A) and 6 months after surgery (B).
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs )
Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions