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Ann Thorac Surg 2004;77:1849-1850
© 2004 The Society of Thoracic Surgeons

How to do it

Creation of a diaphragm patch to facilitate placement of the AbioCor implantable replacement heart

Robert D. Dowling, MDa*, Aziz S. Ghaly, MDa, Laman A. Gray, Jr, MDa

a Department of Surgery, Division of Thoracic and Cardiovascular Surgery, University of Louisville School of Medicine, Louisville, Kentucky, USA

Accepted for publication July 21, 2003.

* Address reprint requests to Dr Dowling, 201 Abraham Flexner Way, Ste 1200, Louisville, KY 40202, USA
e-mail: rdowling{at}ucsamd.com

One of the concerns when placing a total artificial heart is whether the device will fit in the thoracic cavity without impinging on vital structures. We report the creation of a patch in a recipient of the AbioCor Implantable Replacement Heart that allowed for an appropriate fit of the device without adversely affecting pulmonary and hemodynamic functions.






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