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This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Hiroo Takayama Matthew D. Bacchetta Permission Requests Google Scholar Articles by Wei, B. Articles by Bacchetta, M. D. PubMed Articles by Wei, B. Articles by Bacchetta, M. D. Related Collections Lung - cancer Mechanical Circulatory Assistance

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Case Reports

Pulmonary Lobectomy in a Patient With a Left Ventricular Assist Device

^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.