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Semin Thorac Cardiovasc Surg. 2011 Autumn;23(3):241-4. doi: 10.1053/j.semtcvs.2011.10.002.

Technique for less invasive implantation of Heartmate II left ventricular assist device without median sternotomy.

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Department of Cardiothoracic Surgery, Mount Sinai Medical Center, New York, New York, USA.


The standard implantation of the Heartmate II left ventricular assist device (LVAD) (Thoratec Inc, Pleasanton, CA) involves a median sternotomy. There are some theoretical advantages to avoiding a median sternotomy in LVAD implantation. Hill et al(1) introduced the concept of implantation of LVADs via a combination of right mini-thoracotomy and left subcostal incision and used this approach to implant the Thoratec paracorporeal LVAD (Thoratec Inc). Gregoric et al(2) subsequently described a less invasive approach for implanting the Heartmate II LVAD without median sternotomy by using a subcostal incision and a right mini-thoracotomy, and they used the approach in 3 patients. With some modifications, we now use this method for routine implantation of the Heartmate II and describe our technique.

[Indexed for MEDLINE]

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