Left Ventricular Assist Device Implantation Through Thoracotomy And Ministernotomy

Tanil Ozer, Ozge Altas, Deniz Gunay, Mehmet Aksut, Emre Selcuk, Sabit Sarikaya, Mehmet K. Kirali

University of Health Science, Kartal Kosuyolu Training and Research Hospital, Istanbul, Turkey

Date, time and location: 2018.05.25 15:30, Exhibition area, 1st Floor. Zone – A

Abstract

Objective: Left Ventricular Assist Device Implantation is commonly performed through full sternotomy. This technique needs open pericardium fully and massive cardiac deviation to reach left ventricular apex. However ministernotomy and thoracotomy technique prevent heart from these negative effects.

Methods: 20 patients underwent LVAD implantation through thoracotomy and ministernotomy. 9 patients were previously undergone to an open heart surgery. HeartMate 3 was implanted to 7 patients while HeartWare was implanted to others.

Results: One patient was lost. Mean ICU stay was 3.2 days. Patients were discharged from hospital after mean 7,8 days.

Conclusion: LVAD implantation via thoracotomy and ministernotomy can safely be performed to both primer and redo cases.