Concomitant minimally invasive HVAD and transapical aortic valve implantation
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Concomitant minimally invasive HVAD and transapical aortic valve implantation. / Schaefer, Andreas; Treede, Hendrik; Bernhardt, Alexander; Wagner, Florian M; Reichenspurner, Hermann; Deuse, Tobias.
in: ASAIO J, Jahrgang 61, Nr. 2, 26.11.2014, S. 209-912.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Concomitant minimally invasive HVAD and transapical aortic valve implantation
AU - Schaefer, Andreas
AU - Treede, Hendrik
AU - Bernhardt, Alexander
AU - Wagner, Florian M
AU - Reichenspurner, Hermann
AU - Deuse, Tobias
PY - 2014/11/26
Y1 - 2014/11/26
N2 - Minimally invasive left ventricular assist device (LVAD) implantation with the HeartWare VAD (HVAD) has been reported lately as an alternative approach to median sternotomy due to its favorable results regarding sternal wound complications, mediastinitis, postoperative bleeding, and right ventricular failure (RVF). Relevant aortic regurgitation is a cardiac comorbidity that requires surgical repair at the time of LVAD implantation to reduce recirculation and ensure adequate forward flow. We herein report on a patient with severely reduced left ventricular function due to ischemic cardiomyopathy, moderate aortic regurgitation, and a reduced right ventricular function. We performed minimally invasive HVAD implantation with concomitant transapical transcatheter aortic valve replacement. We believe this hybrid procedure could potentially reduce the risk for post-LVAD RVF because it preserves the pericardial geometry and obviates the need for cardioplegic arrest.
AB - Minimally invasive left ventricular assist device (LVAD) implantation with the HeartWare VAD (HVAD) has been reported lately as an alternative approach to median sternotomy due to its favorable results regarding sternal wound complications, mediastinitis, postoperative bleeding, and right ventricular failure (RVF). Relevant aortic regurgitation is a cardiac comorbidity that requires surgical repair at the time of LVAD implantation to reduce recirculation and ensure adequate forward flow. We herein report on a patient with severely reduced left ventricular function due to ischemic cardiomyopathy, moderate aortic regurgitation, and a reduced right ventricular function. We performed minimally invasive HVAD implantation with concomitant transapical transcatheter aortic valve replacement. We believe this hybrid procedure could potentially reduce the risk for post-LVAD RVF because it preserves the pericardial geometry and obviates the need for cardioplegic arrest.
KW - Aged
KW - Aortic Valve Insufficiency/complications
KW - Heart Failure/complications
KW - Heart-Assist Devices/adverse effects
KW - Humans
KW - Male
KW - Minimally Invasive Surgical Procedures/methods
KW - Transcatheter Aortic Valve Replacement/methods
U2 - 10.1097/MAT.0000000000000177
DO - 10.1097/MAT.0000000000000177
M3 - SCORING: Journal article
C2 - 25423118
VL - 61
SP - 209
EP - 912
JO - ASAIO J
JF - ASAIO J
SN - 1058-2916
IS - 2
ER -