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Updated: Jun 10, 2026

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
Published on: August 16, 2021
Management of giant left atrium in patient undergoing left ventricular assist device placement
Kewal Krishan1, Sean Pinney, Anelechi C Anyanwu
1Department of Cardiothoracic Surgery, Mount Sinai Medical Center, New York, NY 10029, USA.
Abstract:
Giant left atrium in a patient who requires heart transplantation not only poses a significant mortality risk due to compression effect on the surrounding intrathoracic structures but also leads to technical difficulties during transplantation, especially with the left atrial anastomosis. We discuss a case of a patient with a giant left atrium with end-stage valvular cardiomyopathy where simultaneous ventricular assist device placement and left atrium reduction plasty was undertaken as a bridge to cardiac transplantation.
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