Left ventricle reconstruction and heartmate3 implantation. The "double patch technique"

J Card Surg. 2020 Nov;35(11):3116-3119. doi: 10.1111/jocs.14913. Epub 2020 Sep 19.

Abstract

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.

Keywords: cardiovascular pathology; cardiovascular research; giant ventricular aneurysm.

MeSH terms

  • Animals
  • Cardiac Surgical Procedures / methods*
  • Cattle
  • Heart Aneurysm / complications
  • Heart Aneurysm / surgery*
  • Heart Failure / etiology
  • Heart Failure / surgery*
  • Heart Ventricles / surgery*
  • Heart-Assist Devices*
  • Humans
  • Plastic Surgery Procedures / methods*
  • Prosthesis Design*
  • Prosthesis Implantation / methods*