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Ann Thorac Surg 2004;77:347-350
© 2004 The Society of Thoracic Surgeons

How to do it

Implantation of MicroMed DeBakey VAD through left thoracotomy after previous median sternotomy operations

Roland Hetzer, MD, PhD*a, Evgenij V. Potapov, MDa, Yuguo Weng, MD, PhDa, Henryk Sinawski, MDa, Friedrich Knollmann, MD, PhDa, Takeshi Komoda, MDa, Ewald Hennig, PhDa, Miralem Pasic, MD, PhDa

a Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Berlin, Germany

Accepted for publication June 3, 2003.

* Address reprint requests to Dr Hetzer, Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Augustenburger Platz 1, 13353 Berlin, Germany.
e-mail: hetzer{at}dhzb.de

A left lateral thoracotomy was used for implantation of the continuous-flow MicroMed DeBakey left ventricular assist device in 12 patients with previous heart operations through a median sternotomy. This approach avoids reopening the chest through a median sternotomy and reduces the risk of bleeding and subsequent complications.




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