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Ann Thorac Surg 2001;71:1719-1720
© 2001 The Society of Thoracic Surgeons

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How to do it

A new off-pump technique for thoratec right ventricular assist device insertion

^a Division of Cardiothoracic Surgery, New York Presbyterian Hospital, College of Physicians and Surgeons, Columbia University, New York, New York, USA

Accepted for publication December 18, 2000.

Address reprint requests to Dr Naka, New York Presbyterian Hospital, MHB 7-435, 177 Fort Washington Ave, New York, NY 10032
e-mail: yn33{at}columbia.edu

The need for right ventricular support as an adjunct to left ventricular assistance is uncommon. When required, the insertion of a right ventricular assist device may be complicated by preexisting hepatic dysfunction, coagulation abnormalities, and renal failure, all of which are exacerbated by cardiopulmonary bypass. We report a technique for insertion of a right ventricular assist device without the need for cardiopulmonary bypass.

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