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Left Ventricular Assist Device Implantation to the Left Subclavian Artery With Distal Banding: A Novel Technique for Hostile Chest.

Abstract
Patients with hostile chests are often precluded from the use of left ventricular assist device therapies for advanced heart failure. We describe a technique for left ventricular assist device implantation using a left thoracotomy approach with outflow graft anastomosis to the left subclavian artery and placement of a distal band to the left subclavian artery. Distal banding of the left subclavian artery prevents over-circulation to the left upper extremity. This technique provides an alternative approach for left ventricular assist device implantation in patients who otherwise would be deemed inoperable because of hostile chest.
AuthorsRyan Bedi, Tung Vu, Aditya Bansal
JournalThe Annals of thoracic surgery (Ann Thorac Surg) Vol. 113 Issue 5 Pg. e381-e383 (05 2022) ISSN: 1552-6259 [Electronic] Netherlands
PMID34492215 (Publication Type: Journal Article)
CopyrightCopyright © 2022 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Topics
  • Heart Failure (surgery)
  • Heart-Assist Devices
  • Humans
  • Prosthesis Implantation (methods)
  • Subclavian Artery (diagnostic imaging, surgery)
  • Thoracotomy (methods)

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