Abstract
Inserting the inflow cannula into the left ventricular apex was a technique developed in the era of pulsatile left ventricular assist devices (LVADs). Despite the evolution to continuous flow devices, this technique has remained popular. However, an apical location can make patients vulnerable to arrhythmias and obstruction due to interaction with the ventricular septum. We developed a method for implanting the HeartMate II, HVAD, and HM3 LVAD along the diaphragmatic surface of the heart. The resulting parallel orientation between the inlet cannula and interventricular septum minimizes the risk of inflow disruption and myocardial irritation and also eliminates the need for a pump pocket.
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None of the authors has any commercial conflicts of interest.
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Morgan, J.A., Frazier, O.H. (2018). LVAD Surgical Implant Technique: Infradiaphragmatic Approach. In: Morgan, J., Civitello, A., Frazier, O. (eds) Mechanical Circulatory Support for Advanced Heart Failure . Springer, Cham. https://doi.org/10.1007/978-3-319-65364-8_6
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DOI: https://doi.org/10.1007/978-3-319-65364-8_6
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