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Ann Thorac Surg 2009;87:1623-1624. doi:10.1016/j.athoracsur.2008.09.024
© 2009 The Society of Thoracic Surgeons
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Dawn E. Jaroszewski
Louis A. Lanza
Patrick A. DeValeria
Francisco A. Arabia
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Right arrow Transplantation - heart

How To Do It

Use of an Inexpensive Blue Band During Ventricular Assist Device and Total Artificial Heart Placement Facilitates and Expedites Explantation During Heart Transplant

Dawn E. Jaroszewski, MD, MBA*, Jesse J. Lackey, FA, Louis A. Lanza, MD, Patrick A. DeValeria, MD, Francisco A. Arabia, MD, MBA

Department of Cardiothoracic Surgery, Mayo Clinic, Phoenix, Arizona

Accepted for publication September 3, 2008.

* Address correspondence to Dr Jaroszewski, Department of Cardiothoracic Surgery Mayo Clinic, 5777 East Mayo Blvd, Phoenix, AZ 85054 (Email: jaroszewski.dawn{at}mayo.edu).

Ventricular assist devices and total artificial hearts are now being used routinely as a bridge to heart transplantation. Reoperation is often weeks to months from implantation. Difficulty dissecting mediastinal and cardiac structures is often encountered due to adhesion formation that prolongs operative time. A temporary, flexible, rectangular-shaped polyisoprene blue band is used to encircle major vascular structures. We have found that this facilitates identification, reduces adhesion formation, and expedites device removal at the time of heart transplantation.






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