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Brian L. Ganzel
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Constantine Mavroudis
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Ann Thorac Surg 1989;47:113-120
© 1989 The Society of Thoracic Surgeons

Articles

Surgical techniques for the implantation of heterotopic prosthetic ventricles

Brian L. Ganzel, MD, Laman A. Gray, Jr, MD*, A.David Slater, MD, Constantine Mavroudis, MD

Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Louisville, Louisville, Kentucky U.S.A.

* Address reprint requests to Dr Gray, Department of Surgery, University of Louisville, Louisville, KY 40292.

Mechanical support of the failing heart is becoming an increasingly useful tool for bridging to cardiac transplantation and for recovery of the natural heart. Several options exist for cannulation sites during the implantation of the heterotopic prosthetic ventricles. These options include the left atrial appendage, the left ventricular apex, the interatrial groove, and the left atrial roof. The indications, contraindications, advantages, disadvantages, and surgical technique for each option are described. Operation of the drive console and postoperative care are also discussed.




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