Conventional and alternative sites for left ventricular assist device inflow and outflow cannula placement

Antonio Loforte; Tomaso Bottio; Matteo Attisani; Sofia Martin Suarez; Vincenzo Tarzia; Marco Pocar; Luca Botta; Gino Gerosa; Mauro Rinaldi; Davide Pacini

doi:10.21037/acs-2020-cfmcs-28

Conventional and alternative sites for left ventricular assist device inflow and outflow cannula placement

Ann Cardiothorac Surg. 2021 Mar;10(2):281-288. doi: 10.21037/acs-2020-cfmcs-28.

Authors

Affiliations

¹ Division of Cardiac Surgery, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
² Department of Cardiac Surgery, Centro Gallucci, Padua University, Padua, Italy.
³ Department of Cardiac Surgery, Città della Salute e della Scienza, Turin University, Turin, Italy.

Abstract

Left ventricular assist device (LVAD) therapy is a well accepted and effective strategy to treat advanced heart failure. The miniaturized third-generation centrifugal pumps HeartWare HVAD (Medtronic, Dublin, Ireland) and HeartMate 3 (Abbott, Illinois, USA) are the two most commonly implanted systems in the contemporary era. Their design has allowed clinicians to pioneer several alternate and less invasive implantation techniques to tackle a broad spectrum of clinical scenarios. A brief review and discussion of alternative surgical techniques for both inflow and outflow cannula insertion, in the contemporary LVAD surgery era, are herein reported.

Keywords: Left ventricular assist device (LVAD); biventricular assist device (BiVAD); inflow cannula; less invasive cardiac surgery; outflow cannula.

Publication types

Editorial