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Ann Thorac Surg 2002;73:994-996
© 2002 The Society of Thoracic Surgeons

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Alternate technique for implantation of left ventricular assist system: left thoracotomy for reoperative cases

Shawn L. Tittle, MDa, Divakar Mandapati, MDa, Gary S. Kopf, MDa, John A. Elefteriades, MD*a

a Section of Cardiothoracic Surgery, Yale University School of Medicine, New Haven, Connecticut, USA

Accepted for publication October 30, 2001.

* Address reprint requests to Dr Elefteriades, Section of Cardiothoracic Surgery, Yale University School of Medicine, 121 FMB, 333 Cedar St, New Haven, CT 06520 USA
e-mail: john.elefteriades{at}yale.edu

Reoperation for Novacor left ventricular assist device placement after prior cardiac surgery is fraught with multiple technical challenges. We have found that a thoracotomy approach obviates these dangers very favorably. The technique is performed off bypass except for apical coring and apical connection. Novacor outflow is to the descending aorta. This approach has been found safe, quick, and effective.




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