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"Single suture" for exposure of the heart in left ventricular assist device placement
R J Kaplon1, M Ricci, Pham SiM
1Division of Cardiothoracic Surgery, University of Miami/Jackson Memorial Hospital, Florida, USA. kaplon@med.miami.edu
Abstract:
Using the "single suture" technique described for exposure of the heart during off-pump coronary surgery, all surfaces of the heart may be exposed with little hemodynamic compromise. Using this technique, the apex of the heart is easily elevated for left ventricular assist device (LVAD) insertion in patients with either ischemic or dilated cardiomyopathy. This technique may provide the groundwork for routine placement of LVADs without the use of cardiopulmonary bypass.
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