2013•Interactive Cardiovascular and Thoracic SurgeryOpen access

Minimally invasive access for off-pump HeartWare left ventricular assist device explantation

Diana García Sáez, Prashant Nanasaheb Mohite, Bartlomiej Zych, Anton Sabashnikov, Rachel Hards, Andre Rudiger Simon, Toufan T. Bahrami

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Abstract

The implantation of a left ventricular assist device as a bridge to transplantation is a well-established treatment of end-stage heart failure in selected patients. Device-related infection is a well-known complication that may require the removal of the device. We describe a minimally invasive explantation approach with complete removal of all components of a HeartWare left ventricular assist device in a patient with persistent infection related to the device.

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What this paper is about

The implantation of a left ventricular assist device as a bridge to transplantation is a well-established treatment of end-stage heart failure in selected patients. Device-related infection is a well-known complication that may require the removal of the device. We describe a minimally invasive explantation approach with complete removal of all components of a HeartWare left ventricular assist device in a patient with persistent infection related to the device.

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Available abstract

The implantation of a left ventricular assist device as a bridge to transplantation is a well-established treatment of end-stage heart failure in selected patients. Device-related infection is a well-known complication that may require the removal of the device. We describe a minimally invasive explantation approach with complete removal of all components of a HeartWare left ventricular assist device in a patient with persistent infection related to the device.

Key concepts: Medicine, Ventricular assist device, Bridge to transplantation, Cardiology, Internal medicine, Heart transplantation, Heart failure, Complication

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