Left ventricular assist device exchange from HeartMate II to HeartMate 3 in an Asian patient-a case report and literature review

Hsiao-Huang Chang; Tzu-Ting Kuo; Po-Lin Chen; Chia-Cheng Kuo; Ching-Yuan Kuo; Nai-Yuan Wu

doi:10.1186/s13019-023-02133-4

Left ventricular assist device exchange from HeartMate II to HeartMate 3 in an Asian patient-a case report and literature review

J Cardiothorac Surg. 2023 Mar 7;18(1):82. doi: 10.1186/s13019-023-02133-4.

Authors

Hsiao-Huang Chang^{1

2}, Tzu-Ting Kuo^{3

4}, Po-Lin Chen^{3

4}, Chia-Cheng Kuo^{3

4}, Ching-Yuan Kuo³, Nai-Yuan Wu⁵

Affiliations

¹ Division of Cardiovascular Surgery, Department of Surgery, Taipei Veterans General Hospital, No. 201, Sec. 2, Shipai Rd., Beitou District, Taipei, 11217, Taiwan. shchang@vghtpe.gov.tw.
² Department of Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan. shchang@vghtpe.gov.tw.
³ Division of Cardiovascular Surgery, Department of Surgery, Taipei Veterans General Hospital, No. 201, Sec. 2, Shipai Rd., Beitou District, Taipei, 11217, Taiwan.
⁴ School of Medicine, College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
⁵ Institute of Biomedical Informatics, College of Life Sciences, National Yang Ming Chiao Tung University, Taipei, Taiwan.

Abstract

Background: Pump exchange surgery of left ventricular assist device (LVAD) has been demonstrated in several studies; however, information for Asian patients was limited.

Case presentation: A 63-year-old man underwent a pump upgrade from HeartMate II to HeartMate 3 for driveline damage through limited left anterior thoracotomy and lower partial sternotomy. He did not experience any hemodynamic adverse events or device malfunction during postoperative follow-ups of 12 months. We also reviewed all published cases with HeartMate II exchange to HeartMate 3.

Conclusions: The case demonstrated that it was safe and feasible to perform HMII LVAD exchange to HM3 through a limited approach for Asian patients.

Keywords: Advanced heart failure; Left ventricular assist device; Pump exchange.

Publication types

Review
Case Reports

MeSH terms

Heart-Assist Devices* / adverse effects
Humans
Male
Middle Aged
Postoperative Period
Sternotomy