Left thoracotomy heartware implantation with outflow graft anastomosis to the descending aorta: A simplified bridge for patients with multiple previous sternotomies

Ramanan Umakanthan, Nicholas A. Haglund, John M. Stulak, Lyle D. Joyce, Rashid Ahmad, Mary E. Keebler, Simon Maltais

Research output: Contribution to journalArticle

19 Scopus citations


Advances in mechanical circulatory support have been critical in bridging patients awaiting heart transplantation. In addition, improvement in device durability has enabled left ventricular assist device therapy to be applied as destination therapy in those not felt to be transplant candidate. Because of the increasing complexity of patients, there continues to be a need for alternative strategies for device implantation to bridge high-risk patients awaiting heart transplantation, wherein the risks of numerous previous sternotomies may be prohibitive. We present a unique technique for placement of the HeartWare ventricular assist device via left anterior thoracotomy to the descending aorta in a patient awaiting heart transplantation with a history of multiple previous sternotomies.

Original languageEnglish (US)
Pages (from-to)664-667
Number of pages4
JournalASAIO Journal
Issue number6
StatePublished - Nov 1 2013
Externally publishedYes



  • descending aorta
  • heart failure
  • HeartWare ventricular assist device

ASJC Scopus subject areas

  • Bioengineering
  • Biophysics
  • Medicine(all)
  • Biomaterials
  • Biomedical Engineering

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