HeartWare HVAD Exchange to HeartMate3: Principles, Techniques, and Pitfalls

Victoria H. Lam; Aldo E. Rafael-Yarihuaman; Dan M. Meyer

doi:10.1053/j.optechstcvs.2022.10.001

HeartWare HVAD Exchange to HeartMate3: Principles, Techniques, and Pitfalls

Victoria H. Lam, Aldo E. Rafael-Yarihuaman, Dan M. Meyer

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Since the recall of the HeartWare HVAD device in 2021, the management of the remaining implants range from medical management, transplant, to exchange. This article describes 2 feasible approaches to exchange the HVAD to the HeartMate3 device through a combination of a left lateral thoracotomy with a superior hemi-sternotomy. These approaches minimize dissection and complications of a redo-sternotomy and minimizes bypass time. Pitfalls and solutions are also herein described.

Original language	English (US)
Pages (from-to)	19-32
Number of pages	14
Journal	Operative Techniques in Thoracic and Cardiovascular Surgery
Volume	28
Issue number	1
DOIs	https://doi.org/10.1053/j.optechstcvs.2022.10.001
State	Published - Mar 1 2023
Externally published	Yes

Keywords

HVAD exchange
HeartMate 3
LVAD
redo surgery

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1053/j.optechstcvs.2022.10.001

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PY - 2023/3/1

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AB - Since the recall of the HeartWare HVAD device in 2021, the management of the remaining implants range from medical management, transplant, to exchange. This article describes 2 feasible approaches to exchange the HVAD to the HeartMate3 device through a combination of a left lateral thoracotomy with a superior hemi-sternotomy. These approaches minimize dissection and complications of a redo-sternotomy and minimizes bypass time. Pitfalls and solutions are also herein described.

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KW - redo surgery

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HeartWare HVAD Exchange to HeartMate3: Principles, Techniques, and Pitfalls

Abstract

Keywords

ASJC Scopus subject areas

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