Left ventricular assist device implantation with left lateral thoracotomy with anastomosis to the descending aorta

• DOI: 10.1093/icvts/ivy061
• Publication Date: 2018-02-14T07:08:41Z
• Authors: Mustafa Ozbaran; Tahir Yagdi; Cagatay Engin; Sanem Nalbantgil; Pelin Ozturk
• Keywords: Thoracotomy; Median sternotomy; Descending aorta

Standard implantation of the HeartWare left ventricular assist system is performed using full sternotomy approach. However, successful devices in patients with a previous median sternotomy, especially high-risk patients, remains challenging. Herein, we compared by thoracotomy anastomosis outflow graft to descending aorta standard Between March 2013 and June 2016, implanted 118 adult system, excluding implants concurrent procedures, paediatric cases biventricular device. Of these implants, 30 were lateral aorta. The remaining carried out ascending Propensity matching variables age, body mass index, right atrial pressure, blood urea nitrogen, creatinine, cardiomyopathy type Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) levels resulted comparative data set patients. Within first days, incidence heart failure (17% vs 10%, sternotomy) bleeding (10% 7%, respectively) similar between surgical approaches. Thirty-day survival was 93.3% both groups. Currently, 3 cohort have been transplanted 17 remain on support, while cohort, 1 patient has 21 support. In our single-centre experience, had early outcomes sternotomy.