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Richard N. Pierson, III
Walter H. Merrill
Davis C. Drinkwater, Jr
Karla G. Christian
John R. Wilson
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Ann Thorac Surg 2002;73:997-999
© 2002 The Society of Thoracic Surgeons

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Left ventricular assist device implantation via left thoracotomy: alternative to repeat sternotomy

Richard N. Pierson, III, MD*a, Renee Howser, MSNb, Terri Donaldson, MNb, Walter H. Merrill, MDa, Rebecca J. Dignan, MDa, Davis C. Drinkwater, Jr, MDa, Karla G. Christian, MDa, Javed Butler, MDb, Don Chomsky, MDb, John R. Wilson, MDb, Rick Clark, BSc, Stacy F. Davis, MDb

a Department of Cardiothoracic Surgery, Vanderbilt University Medical Center and Nashville Veterans Administration Medical Center, Nashville, Tennessee, USA
b Department of Medicine (Division of Cardiology), Vanderbilt University Medical Center and Nashville Veterans Administration Medical Center, Nashville, Tennessee, USA
c Department of Biomedical Engineering, Vanderbilt University Medical Center, and Nashville Veterans Administration Medical Center, Nashville, Tennessee, USA

Accepted for publication October 20, 2001.

* Address reprint requests to Dr Pierson, Department of Cardiothoracic Surgery, Vanderbilt University Medical Center, Nashville, TN 37232-5734 USA
e-mail: robin.pierson{at}mcmail.vanderbilt.edu

Repeat sternotomy for left ventricular assist device insertion may result in injury to the right heart or patent coronary grafts, complicating intraoperative and postoperative management. In 4 critically ill patients, left thoracotomy was used as an alternative to repeat sternotomy. Anastomosis of the outflow conduit to the descending thoracic aorta provided satisfactory hemodynamic support.




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J. Butler, R. Howser, P. M. Portner, and R. N. Pierson III
Body Mass Index and Outcomes After Left Ventricular Assist Device Placement
Ann. Thorac. Surg., January 1, 2005; 79(1): 66 - 73.
[Abstract] [Full Text] [PDF]


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