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Left ventricle reconstruction and heartmate3 implantation. The "double patch technique"
Author(s) -
Piperata Antonio,
Kalscheuer Gregory,
Pernot Mathieu,
Albadi Waleed,
Metras Alexandre,
Peltan Julien,
Bottio Tomaso,
Gerosa Gino,
Labrousse Louis,
Barandon Laurent
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14913
Subject(s) - medicine , ventricle , cardiology , pericardium , heart failure , ventricular assist device , destination therapy , surgery
Background HeartMate 3 is a left ventricular assist device, composed of a centrifugal pump. It can be applied as a myocardial recovery, a bridge to transplant, or a destination therapy, in the treatment of patients with left ventricular heart failure. Methods Herein we describe a technique applied against a giant aneurysmal dilatation, which combines a surgical device implantation and a left ventricular reconstruction using a double patch. Results: The patch minimizes thrombotic risk thanks to its internal bovine pericardium layer, which is in contact with blood. Conclusions The outlined technique is relatively reproducible and safe in a selected group of patients, as it employs a high‐quality device and enables the restoration of an appropriate ventricular geometry.