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A novel approach to stenting a stenotic graft housing a Berlin Heart cannula by utilizing an adapted left ventricular assist device circuit

Lookup NU author(s): Dr Tony Hermuzi, Dr David Crossland, Fabrizio De Rita, Dr Kaitav Adhvaryu, Mohamed Nassar

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Abstract

© 2022 Wiley Periodicals LLC. Background: A 9-year-old boy with Berlin Heart biventricular assist device for diagnosis of dilated cardiomyopathy developed progressive reduction in left ventricular assist device(VAD) emptying and evidence of low cardiac output despite alterations to the device settings. Computed tomography revealed that the Dacron graft attaching the systemic cannula to the ascending aorta was stenosed. Method & Result: A minimally invasive approach with novel circuit modification was used to achieve antegrade stenting of the stenosed graft. Conclusion: This proposed technique provides a large port for minimally invasive access via an adapted VAD circuit allowing stent insertion to the aortic graft with an excellent outcome.

Publication metadata

Author(s): Crompton M, Hermuzi A, Crossland D, De Rita F, Adhvaryu K, Nassar MS

Publication type: Article

Publication status: Published

Journal: Journal of Cardiac Surgery

Year: 2022

Volume: 37

Issue: 11

Pages: 3991-3994

Print publication date: 01/11/2022

Online publication date: 02/08/2022

Acceptance date: 15/07/2022

ISSN (print): 0886-0440

ISSN (electronic): 1540-8191

Publisher: John Wiley and Sons Inc.

URL: https://doi.org/10.1111/jocs.16812

DOI: 10.1111/jocs.16812

PubMed id: 35916104

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