Left ventricular assist device inflow cannula implantation: why a "Step sideways" technique can be helpful.

Artif Organs

14 Marzo Mar 2021 8 months ago
  • Zanobini M

Preservation of right ventricle vascularization that is dependent on left coronary network collateral development is essential during left ventricular assist device implantation to avoid postoperative right heart failure. Our technique was performed on a patient described here, who underwent implantation as a bridge to transplantation; the technique is characterized by providing a moderate lateral and inferior displacement of the inflow cannula position, which achieves both the objectives of respecting the apical course of a left anterior descending coronary artery supplying an occluded right coronary and of maintaining a sufficient orientation degree towards the plane of the mitral valve for correct left ventricular unloading.

Reference

Loardi C, Ricciardi G, Zanobini M, Vermes E. Left ventricular assist device inflow cannula implantation: why a "Step sideways" technique can be helpful. Artif Organs 2021 Mar 9.doi: 10.1111/aor.13953

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