Off-pump implant of the Jarvik 2000 ventricular assist device through median sternotomy.

Anyanwu, Ani C; Fischer, Gregory W; Plotkina, Irina; Pinney, Sean; Adams, David H · Ann Thorac Surg · 2007

case_report · Level V

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Abstract

Implantation of a left ventricular assist device through a median sternotomy usually requires cardiopulmonary bypass. However, the biological response to cardiopulmonary bypass is sometimes deleterious in end-stage heart failure patients, as it may compound pre-existing coagulopathy or multiorgan dysfunction. Therefore, there are potential advantages to avoiding cardiopulmonary bypass during left ventricular assist device placement. We describe a technique for off-pump implantation of the Jarvik 2000 left ventricular assist device (Jarvik Heart Inc, New York, NY) through a median sternotomy.

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