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Paul J. Hendry
Fraser D. Rubens
Frederic Collart
Thierry G. Mesana
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Ann Thorac Surg 2003;76:611-614
© 2003 The Society of Thoracic Surgeons

Case report

A strategy of hypothermic circulatory arrest for difficult heart transplant postventricular assist device

Eric Charbonneau, MDa, Paul J. Hendry, MDa, Fraser D. Rubens, MDa, Frederic Collart, MDb, Vlad Gariboldi, MDb, Thierry G. Mesana, MD, PhD*a,b

a Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
b Unité de Chirurgie Cardiaque, Centre Hospitalier de la Timone, Marseille, France

Accepted for publication January 23, 2003.

* Address reprint requests to Dr Mesana, University of Ottawa Heart Institute, 40 Ruskin St, Room 213, Ottawa, Ontario K1Y 4W7, Canada
e-mail: tmesana{at}ottawaheart.ca

Donor heart and ventricular assist device excision can be extremely difficult at the time of heart transplant. We present a strategy of hypothermic circulatory arrest established with ventricular assist device cannulas for difficult heart transplants. The device inlet or outlet cannulas already in place, or both, are used to complement the safe cannulation sites available. This approach permits controlled excision of the recipient heart and device, easy access to convert to standard ascending aorta and bicaval cannulation, and minimizes the donor graft anoxia time. Two case reports are presented.






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