| Implantation Technique of a Left Ventricular Assist System through a Small
Right Parasternal Incision |
| Tsuneo Tanaka |
Yasuhide Okawa |
Masahiro Toyama |
| Masaki Hashimoto |
Narihiro Ishida |
Koji Matsumoto |
(Department of Cardiovascular Surgey, Toyohashi National Higashi Hospital, Toyohashi, Japan)
|
A 62-year-old man was transferred to our institution with ventricular fibrillation.
Percutaneous cardiopulmonary support (PCPS) was established and he underwent
successful percutaneous transluminal coronary angioplasty. Since his left
ventricular function did not recover, he was placed on a left ventricular
assist system (LVAS). Under general anesthesia, a 10-cm longitudinal incision
was made on the right parasternum. The third and fourth cartilages were
completely resected. The pericardium was incised longitudinally. At first,
an inflow cannula was insected to the right side of the left artium. The
ascending aorta was then partially excluded and an outflow cannula with
a 10 mm Gore-Tex prosthesis was anastomosed end-to-side to the aorta with
a continuous Gore-Tex suture. After the pump was establieshed, PCPS was gradually discontinued.
During 9 days of support, his left ventricular function recovered and
subsequently he was weaned from LVAS. Unfortunately, he died two days after
LVAS removal. We think this procedure is useful because it is easy to perform,
reduces the bleeding, shortens the operating time.
Jpn. J. Cardiovasc. Surg. 29: 393-395 (2000) |
|
