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Todd M. Dewey
Jonathan M. Chen
Talia B. Spanier
Mehmet C. Oz
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Ann Thorac Surg 1998;66:1829-1830
© 1998 The Society of Thoracic Surgeons

How to Do It

Alternative technique of right-sided outflow cannula insertion for right ventricular support

Todd M. Dewey, MDa, Jonathan M. Chen, MDa, Talia B. Spanier, MDa, Mehmet C. Oz, MDa

a Columbia University, College of Physicians and Surgeons, New York, New York, USA

Accepted for publication June 10, 1998.

Address reprint requests to Dr Oz, Columbia-Presbyterian Medical Center, Milstein Pavilion 7-435, 177 Fort Washington Ave, New York, NY 10032
e-mail: (mco2{at}columbia.edu)

Right ventricular assist devices are an important part of the armamentarium of cardiac surgeons for the treatment of right-sided circulatory failure after cardiac transplantation or insertion of a left ventricular assist device. However, right ventricular assist device insertion can be technically challenging in the setting of pulmonary hypertension because of a number of concomitant anatomic and physiologic phenomena. We present a technique for the insertion of the right ventricular assist device outflow cannula that is easier and faster to insert, and safer to explant, especially if cardiopulmonary bypass is to be avoided.




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