Skip to main content
Log in

Experimental videothoracoscopic cannulation of the left atrial appendix

A feasible rapid approach for initiating left heart bypass?

  • Original Articles
  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

Summary

Rapid implementation of left ventricular assistance without thoracotomy for temporary support of patients with severe, life-threatening, acute cardiac power failure potentially expands applications of such support devices. A thoracoscopic technique for direct cannulation of the left atrium is described. In healthy closed-chest pigs, it proved a feasible method for effective volume unloading of the left ventricle.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Downing SW, Llaneras M, Gorgi D, Wood DC, Savage EB, Edmunds, Jr, LH (1992) Left ventricular assistance without thoracotomy: mediastinal and transseptal approaches to the left heart. Ann Thorac Surg 53:132–138

    Google Scholar 

  2. Gacioch GM, Ellis SG, Lee L, et al (1992) Cardiogenic shock complicating acute myocardial infarction: the use of coronary angioplasty and the integration of the new support devices into patient management. J Am Coll Card 19: 647–653

    Google Scholar 

  3. Merrhige ME, Smalling RW, Cassidy D, et al (1989) Effect of the Hemopump left ventricular assist device on regional myocardial perfusion and function. Circulation 80 (Suppl III): 158–166

    Google Scholar 

  4. Nathanson LK, Shimi SM, Wood R, Cuschieri A (1991) Videothoracoscopic ligation of bulla and pleurectomy for spontaneous pneumothorax. Ann Thorac Surg 52: 316–319

    Google Scholar 

  5. Pae WE Jr (1987) Temporary ventricular support, current indications and results. Trans Am Soc Artif Intern Organs 33: 4–7

    Google Scholar 

  6. Park SB, Liebler GA, Burkholder JA, et al (1986) Mechanical support of the failing heart. Ann Thorac Surg 42: 627–631

    Google Scholar 

  7. Sasaki E, et al (1991) Easy access for a left ventricular assist system without thoracotomy. Trans Am Soc Artif Intern Organs 37: M280-M281

    Google Scholar 

  8. Seremetis MG (1985) Left heart assist without thoracotomy. Heart Transplant 5: 339–342

    Google Scholar 

  9. Tukkie R, Gründeman PF, Moulijn AC, Rudolphy VJ, Klopper PJ (1992) Treatment of intractable ventricular fibrillation with prompt circulatory support using a biventricular assist device in pigs—an experimental study. Thorac Cardiovasc Surgeon 40: 5–9

    Google Scholar 

  10. Zumbro GL, Kitchens WR, Shearer G, Harville G, Bailey L, Galloway RF (1987) Mechanical assistance for cardiogenic shock following cardiac surgery, myocardial infarction, and cardiac transplantation. Ann Thorac Surg 44: 11–13

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gründeman, P.F., Meijer, D.W., Bannenberg, J.J.G. et al. Experimental videothoracoscopic cannulation of the left atrial appendix. Surg Endosc 7, 511–513 (1993). https://doi.org/10.1007/BF00316691

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00316691

Key words

Navigation