Sternal Sparing Bilateral Symmetrical Thoracotomy for Implantation of Left Ventricular Assist Device.
Multimedia manual of cardiothoracic surgery MMCTS(2021)
摘要
Reopening the chest in patients with left ventricular assist devices at the time of a heart transplant is challenging due to adhesions and the possibility of injury to vital structures. The sternal sparing bilateral thoracotomy approach utilized to implant a left ventricular assist device minimizes the chances of such injuries and offers a cosmetically better outcome. We demonstrate a procedure for implanting a left ventricular assist device in a 54-year-old man diagnosed with dilated cardiomyopathy who suffered rapid decompensation despite maximum medical therapy.
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