Simultaneous minimally invasive LVAD implantation and extracorporeal RVAD placement by patient with pectus excavatum and biventricular acute heart failure

Michal Nozdrzykowski; Thilo Noack; Uwe Schulz; Christian Luecke; Michael A Borger; Diyar Saeed

doi:10.1007/s10047-022-01354-z

Simultaneous minimally invasive LVAD implantation and extracorporeal RVAD placement by patient with pectus excavatum and biventricular acute heart failure

J Artif Organs. 2023 Jun;26(2):156-159. doi: 10.1007/s10047-022-01354-z. Epub 2022 Aug 11.

Authors

Michal Nozdrzykowski¹, Thilo Noack², Uwe Schulz², Christian Luecke³, Michael A Borger², Diyar Saeed²

Affiliations

¹ University Department of Cardiac Surgery, Leipzig Heart Center, Struempellstrasse 39, 04289, Leipzig, Germany. [email protected].
² University Department of Cardiac Surgery, Leipzig Heart Center, Struempellstrasse 39, 04289, Leipzig, Germany.
³ Department of Radiology, Leipzig Heart Center, Leipzig, Germany.

PMID: 35951178
DOI: 10.1007/s10047-022-01354-z

Abstract

The optimal surgical approach in patients with pectus excavatum (PEx) who need cardiac surgery remains uncertain. The challenge is even greater, if it is already foreseeable that the patient will be needed further procedure in the next future. We describe a novel sternotomy-sparing approach for minimal-invasive biventricular assist device (BiVAD) implantation in a patient with an acute heart failure (HF) due to dilated cardiomyopathy and severe PEx. Moreover, alternative approaches for ventricular assist device (VAD) implantation and timing of the repair of PEx will be discussed.

Keywords: LVAD; Minimally invasive; Pectus excavatum; RVAD.

MeSH terms

Cardiac Surgical Procedures*
Funnel Chest* / complications
Funnel Chest* / surgery
Heart Failure* / complications
Heart Failure* / surgery
Heart-Assist Devices*
Humans
Retrospective Studies
Sternotomy / methods
Treatment Outcome