Regenerating a ventricular cavity during left ventricular assist device implantation

Altaş, Özge; Özer, Tanıl; Özgür, Mustafa; Sarikaya, Sabit; Kırali, Kaan

doi:10.1007/s10047-019-01089-4

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…Major advantages of a concomitant EVPP during LVAD implantation were already described [12][13][14] . Despite different reported techniques, prevention of thromboembolism by removal of thrombotic material from the former apex and more stable placement of the pump with coaxial and midventricular positioning of the inflow cannula towards the mitral valve are considered to be facilitated by EVPP.…”

Section: Discussionmentioning

confidence: 99%

“…To facilitate CF pump insertion and placement and to prevent thromboembolism in such cases, concomitant endoventricular patch plasty (EVPP) (Dor procedure [ 11 ] ) should be taken into consideration. However, these combined procedures are only described anecdotally with documentation of acute and perioperative outcomes [ 12 ] . We herein describe our experience with combined LVAD and Dor procedures with an emphasis on long-term follow-up.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Left Ventricular Assist Device Implantation and Concomitant Dor Procedure: a Single Center Experience

Schaefer¹,

Schneeberger²,

Castro³

et al. 2020

Braz J Cardiovasc Surg

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Objective Left ventricular assist device (LVAD) implantation with concomitant Dor plasty is only reported anecdotally. We herein aimed to describe our experience with LVAD and concomitant Dor procedures and describe long-term outcomes of this special subset of heart failure patients. Methods Between January/2010 and December/2018, 144 patients received LVAD therapy at our institution. Of those, five patients (80% male, 60.4±7.2 years) presented with an apical aneurysm and received concomitant Dor plasty. Apical aneurysms presented diameter between 75 and 98 mm, with one impending rupture. Results Procedural success was achieved in all patients. No unplanned right ventricular assist device implantation occurred. Furthermore, no acute 30-day mortality was seen. In follow-up, one patient was lost due to intentional disconnection of the driveline. One patient underwent heart transplantation on postoperative day 630. The remaining three patients are still on device with sufficient flow; pump thromboses were successfully managed by lysis therapy in one patient. Conclusion LVAD implantation with concomitant Dor procedure is feasible, safe, and occasionally performed in patients with ischemic cardiomyopathy. Major advantages are prevention of thromboembolism and facilitation of LVAD placement by improving pump stability and warranting midventricular, coaxial alignment of the inflow cannula. In long-term follow-up, no adverse event associated with Dor plasty was observed.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Left Ventricular Assist Device Implantation and Concomitant Dor Procedure: a Single Center Experience

Schaefer¹,

Schneeberger²,

Castro³

et al. 2020

Braz J Cardiovasc Surg

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“…On the contrary, we preferred the apical approach to remove dehiscenced mitral clips under total CPB with on-pump beating heart on the second patient, which was even easier and feasible. If we need an aneurysmectomy before LVAD implantation, 16 it will also be feasible to remove any dysfunctional mitral clip through this large incision.…”

Section: Discussionmentioning

confidence: 99%

MitraClip Removal During Left Ventricular Assist Device Implantation

Kırali

Özer²,

Yerlikhan³

et al. 2020

ASAIO Journal

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Mitral regurgitation (MR) is an important consequence of heart failure (HF) patients, which increases hospitalization and mortality rates. The MitraClip procedure is increasingly preferred for HF patients with obvious MR to improve MR and related symptoms. In some cases, patients may need further intervention such as left ventricular assist device implantation with the aim of improving progressive clinical deterioration caused by the progression of HF or mitral clip associated complications (i.e., detachment or mitral stenosis). This case study summarizes our two patients who received concomitant mitral clip removal and left ventricular assist device implantation with clinically successful results.

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Surgical Ventricular Reconstruction Eligible for Late Assist Device Implantation

Knosalla¹,

Lanmüller²,

Starck³

et al. 2022

The Annals of Thoracic Surgery

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Regenerating a ventricular cavity during left ventricular assist device implantation

Cited by 3 publications

References 10 publications

Left Ventricular Assist Device Implantation and Concomitant Dor Procedure: a Single Center Experience

Left Ventricular Assist Device Implantation and Concomitant Dor Procedure: a Single Center Experience

MitraClip Removal During Left Ventricular Assist Device Implantation

Surgical Ventricular Reconstruction Eligible for Late Assist Device Implantation

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