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a Department of Surgery, New York Presbyterian Hospital, Columbia College of Physicians of Surgeons, New York, New York
b Division of Cardiothoracic Surgery, New York Presbyterian Hospital, Columbia College of Physicians of Surgeons, New York, New York
Accepted for publication October 12, 2008.
* Address correspondence to Dr Bacchetta, New York Presbyterian Hospital, Irving Pavilion, Room 3, 161 Fort Washington Ave, New York, NY 10032 (Email: mb781{at}columbia.edu).
Left ventricular assist devices (LVADs) are increasingly being used as both bridge-to-transplantation and destination therapy in patients with severe congestive heart failure. Performing noncardiac surgical procedures in patients with LVADs represents a unique challenge given the anatomic, hemodynamic, and hematologic considerations in these patients. We present the case of a man with an LVAD who successfully underwent right upper lobectomy for a pulmonary nodule. The literature on thoracic surgery procedures in LVAD patients and the intraoperative and postoperative management of these patients are also reviewed.
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