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Ann Thorac Surg 2007;84:1405-1407
© 2007 The Society of Thoracic Surgeons

How To Do It

Off-Pump Implant of the Jarvik 2000 Ventricular Assist Device Through Median Sternotomy

Ani C. Anyanwu, MD*, Gregory W. Fischer, MD, Irina Plotkina, PA-C, Sean Pinney, MD, David H. Adams, MD

Department of Cardiothoracic Surgery, Mount Sinai Medical Center, New York, NY

Accepted for publication February 2, 2007.

* Address correspondence to Dr Anyanwu, Department of Cardiothoracic Surgery, Mount Sinai Medical Center, 1190 Fifth Ave, Box 1028, New York, NY 10029 (Email: anelechi.anyanwu{at}mountsinai.org).

Implantation of a left ventricular assist device through a median sternotomy usually requires cardiopulmonary bypass. However, the biological response to cardiopulmonary bypass is sometimes deleterious in end-stage heart failure patients, as it may compound pre-existing coagulopathy or multiorgan dysfunction. Therefore, there are potential advantages to avoiding cardiopulmonary bypass during left ventricular assist device placement. We describe a technique for off-pump implantation of the Jarvik 2000 left ventricular assist device (Jarvik Heart Inc, New York, NY) through a median sternotomy.




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[Abstract] [PDF]


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