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Updated: Aug 26, 2026

Implantation of the Syncardia Total Artificial Heart
Published on: July 18, 2014
Right atriotomy closure with modified ventricular assist device ring
Pia Lanmüller1,2, Jaime-Jürgen Eulert-Grehn1,2, Christoph Starck1,2
1Department of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, Germany.
Background:
Severe tricuspid regurgitation is a known risk factor for right ventricular failure (RVF) after left ventricular assist device (LVAD) implantation and is often treated with concomitant tricuspid valve repair (TVR). The right atriotomy needed for exposure of the tricuspid valve may complicate early implantation of a durable right ventricular assist device, which may be needed if RVF persists.
Materials & Methods:
A 53-year-old male patient on Impella and extracorporeal life support was scheduled for LVAD implantation with concomitant TVR.
Results:
We performed a technique for closure of the right atrium after TVR with a modified ventricular assist device ring to facilitate right ventricular support implantation if needed.

