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Exchange of DuraHeart left ventricular assist device via a subcostal approach

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Abstract

We report a successful case of a DuraHeart left ventricular assist device (LVAD) exchange via a subcostal approach. A 35-year-old woman was implanted with a DuraHeart LVAD due to dilated cardiomyopathy. Approximately 8 months after the implantation, the magnetic levitation system failed. The DuraHeart LVAD was exchanged emergently. The pump was freely dissected via a subcostal approach, avoiding redo sternotomy. De-airing of the new pump and the left ventricle was carefully performed. When the systemic flow was transferred from the cardiopulmonary bypass to the DuraHeart LVAD, an adequate flow was not initally obtained. Positional correction of the inflow conduit was needed to obtain full systemic flow. The postoperative course was uneventful. She was successfully discharged and is waiting at home for a heart donation.

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References

  1. Miller LW, Pagani FD, Russell SD, John R, Boyle AJ, Aaronson KD, Conte JV, Naka Y, Mancini D, Delgado RM, MacGillivray TE, Farrar DJ, Frazier OH, HeartMate II Clinical Investigators. Use of a continuous-flow device in patients awaiting heart transplantation. N Engl J Med. 2007;357(9):885–96.

    Google Scholar 

  2. Kirklin JK, Naftel DC, Kormos RL, Stevenson LW, Pagani FD, Miller MA, Ulisney KL, Baldwin JT, Young JB. Third INTERMACS annual report: the evolution of destination therapy in the United States. J Heart Lung Transpl. 2011;30(2):115–23.

    Article  Google Scholar 

  3. Morshuis M, Schoenbrodt M, Nojiri C, Roefe D, Schulte-Eistrup S, Boergermann J, Gummert JF, Arusoglu L. DuraHeart magnetically levitated centrifugal left ventricular assist system for advanced heart failure patients. Expert Rev Med Devices. 2010;7(2):173–83.

    Article  PubMed  Google Scholar 

  4. Gregoric ID. Exchange techniques for implantable ventricular assist devices. ASAIO J. 2008;54(1):14–9.

    Article  PubMed  Google Scholar 

  5. Adamson RM, Dembitsky WP, Baradarian S, Chammas J, Jaski B, Hoagland P, McCalmont V, Ortiz K, Stahovich M, Chillcott S. HeartMate left ventricular assist system exchange: results and technical considerations. ASAIO J. 2009;55(6):598–601.

    Article  PubMed  Google Scholar 

  6. Gregoric ID, Bruckner BA, Jacob L, Kar B, Cohn WE, La Francesca S, Frazier OH. Clinical experience with sternotomy versus subcostal approach for exchange of the HeartMate XVE to the HeartMate II ventricular assist device. Ann Thorac Surg. 2008;85(5):1646–9.

    Article  PubMed  Google Scholar 

  7. Woo YJ, Acker MA. Implantable ventricular assist device exchange with focused intravascular deairing techniques. Ann Thorac Surg. 2011;91(1):306–7.

    Article  PubMed  Google Scholar 

  8. Raman SV, Sahu A, Merchant AZ, Louis LB 4th, Firstenberg MS, Sun B. Noninvasive assessment of left ventricular assist devices with cardiovascular computed tomography and impact on management. J Heart Lung Transpl. 2010;29(1):79–85.

    Google Scholar 

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Graduate School of Medicine, Osaka University, 2-2(E1) Yamadaoka, Suita, Osaka, 565-0871, Japan

    Masashi Kawamura, Taichi Sakaguchi, Shigeru Miyagawa, Hiroyuki Nishi, Yasushi Yoshikawa, Satsuki Fukushima, Shunsuke Saito, Takayoshi Ueno, Toru Kuratani & Yoshiki Sawa

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  1. Masashi Kawamura
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  2. Taichi Sakaguchi
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  3. Shigeru Miyagawa
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  4. Hiroyuki Nishi
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  5. Yasushi Yoshikawa
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  6. Satsuki Fukushima
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  7. Shunsuke Saito
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  8. Takayoshi Ueno
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  9. Toru Kuratani
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  10. Yoshiki Sawa
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Corresponding authors

Correspondence to Taichi Sakaguchi or Yoshiki Sawa.

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Kawamura, M., Sakaguchi, T., Miyagawa, S. et al. Exchange of DuraHeart left ventricular assist device via a subcostal approach. J Artif Organs 15, 87–89 (2012). https://doi.org/10.1007/s10047-011-0604-6

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  • DOI: https://doi.org/10.1007/s10047-011-0604-6

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