Berlin Excor Cannulation of Left Atrial Appendage in Left Ventricular Restrictive Physiology: A Novel Bailout Strategy

Berlin Excor Cannulation of Left Atrial Appendage in Left Ventricular Restrictive Physiology: A Novel Bailout Strategy

Ventricular assist device (VAD) management continues to be a challenge in the presence of restrictive physiology. Left atrial (LA) decompression is not satisfactory even with good function and position of the left ventricular cannula. We describe an alternate approach with LA cannulation via the lef...

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Veröffentlicht in:ASAIO journal (1992) 2020-12, Vol.Publish Ahead of Print
Hauptverfasser: Marey, Gamal M., Said, Sameh M., Ameduri, Rebecca, Steiner, Marie E., Bowler, Michael, Loomis, Ashley, Jang, Subin, Griselli, Massimo
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container_title ASAIO journal (1992)
container_volume Publish Ahead of Print
creator Marey, Gamal M.
Said, Sameh M.
Ameduri, Rebecca
Steiner, Marie E.
Bowler, Michael
Loomis, Ashley
Jang, Subin
Griselli, Massimo
description Ventricular assist device (VAD) management continues to be a challenge in the presence of restrictive physiology. Left atrial (LA) decompression is not satisfactory even with good function and position of the left ventricular cannula. We describe an alternate approach with LA cannulation via the left atrial appendage (LAA) as a rescue strategy in a patient who had restrictive physiology, in our case was secondary to viral myocarditis acute systolic heart failure with subsequent insidious diffuse endomyocardial fibrosis and superimposed massive calcification, causing inadequate emptying of the left ventricle despite optimal VAD apical cannula position.
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title Berlin Excor Cannulation of Left Atrial Appendage in Left Ventricular Restrictive Physiology: A Novel Bailout Strategy
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