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Updated: May 10, 2026

Implantation of the Syncardia Total Artificial Heart
Published on: July 18, 2014
Mitral commissurotomy through the left ventricle apical orifice with Heart Ware left ventricular assist device
Prashant Nanasaheb Mohite1, Bartlomiej Zych, Aron Frederik Popov
1Department of Cardiothoracic Transplantation & Mechanical Support, Royal Brompton and Harefield NHS Trust, Harefield, Hill End Road, London UB9 6JH, UK.
Abstract:
Diseased, replaced or repaired mitral valve can lead to restricted blood flow to left ventricle and inadequate flow in left ventricular assist device (LVAD). A middle age woman with 'burnt out' hypertrophic cardiomyopathy had mitral valve repair for mitral regurgitation. She needed LVAD to support severe decompensating heart failure. Repaired mitral valve posed a risk of restricted flow through the device. Mitral commissurotomy was performed on beating heart through the left ventricular apical hole created for insertion of inflow cannula of LVAD.
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