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Ann Thorac Surg 2005;80:745-747
© 2005 The Society of Thoracic Surgeons

How to do it

Anterior Approach to Implant the Jarvik 2000 With Retroauricular Power Supply

Michael P. Siegenthaler, MD a , * , Jürgen Martin, MD a , Ralf Gutwald, MD, DMD b , Roderich Bahr, MD a , Stephen Westaby, MD c , Rainer Schmelzeisen, MD, DMD b , Friedhelm Beyersdorf, MD a

a Department of Cardiovascular Surgery, University of Freiburg, Freiburg, Germany
b Department of Maxillofacial Surgery, University of Freiburg, Freiburg, Germany
c Department of Cardiac Surgery, John Radcliffe Hospital, Oxford Heart Centre, Oxford, United Kingdom

Accepted for publication February 17, 2004.

* Address reprint requests to Dr Siegenthaler, Department of Cardiovascular Surgery, University of Freiburg, Hugstetterstrasse 55, 79106 Freiburg, Germany; (Email: siegenth{at}ch11.ukl.uni-freiburg.de).

The retroauricular power supply of the Jarvik 2000 (Jarvik Heart Inc, New York, NY) left ventricular assist device is suitable for permanent support, as it is associated with fewer infections than conventional drivelines. Implantation through a left-lateral thoracotomy limits the performance of additional cardiac procedures. We describe a technique that used a sternotomy for the implantation of the Jarvik 2000 with retroauricular power supply in two patients. The retroauricular power supply of the Jarvik 2000 can be provided with an anterior approach, allowing full surgical access to the heart. If the outflow graft to the ascending aorta indeed reduces aortic stasis and thromboembolic events, the anterior approach with retroauricular power delivery might evolve into a standard procedure.




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