Biventricular assistance with 2 hm3 in a small chest patient: extra-pericardial implant

Giulio Folino; Antonio Piperata; Jonida Bejko; Gino Gerosa; Tomaso Bottio

doi:10.1007/s10047-020-01200-0

Biventricular assistance with 2 hm3 in a small chest patient: extra-pericardial implant

J Artif Organs. 2021 Jun;24(2):261-264. doi: 10.1007/s10047-020-01200-0. Epub 2020 Aug 17.

Authors

Giulio Folino¹, Antonio Piperata², Jonida Bejko², Gino Gerosa², Tomaso Bottio³

Affiliations

¹ Cardiac Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Via Giustiniani 2, 35128, Padua, Italy. folinogiulio@gmail.com.
² Cardiac Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Via Giustiniani 2, 35128, Padua, Italy.
³ Cardiac Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Via Giustiniani 2, 35128, Padua, Italy. tomaso.bottio@unipd.it.

PMID: 32803544
DOI: 10.1007/s10047-020-01200-0

Abstract

We describe the clinical course and treatment of a 53-year-old female, with small chest dimensions, referred to our institution for a primary cardiogenic shock. The patient underwent an on-pump left ventricular assist-device (VAD) implantation with the aid of immediate post-operative paracorporeal right-VAD assistance for an acute right ventricular failure. After two unsuccessful weaning attempts, she underwent extrapericardial HM 3 RVAD implantation.

Keywords: Bi-VAD; HeartMate 3; Left ventricular assist device.

Publication types

Case Reports

MeSH terms

Body Size / physiology
Cardiovascular Surgical Procedures / instrumentation
Cardiovascular Surgical Procedures / methods
Extracorporeal Circulation / instrumentation
Extracorporeal Circulation / methods
Female
Heart Failure / pathology
Heart Failure / surgery*
Heart Valve Prosthesis Implantation / adverse effects
Heart Valve Prosthesis Implantation / instrumentation
Heart Valve Prosthesis Implantation / methods
Heart-Assist Devices* / adverse effects
Humans
Middle Aged
Postoperative Complications / therapy
Shock, Cardiogenic / pathology
Shock, Cardiogenic / surgery*
Thorax / pathology*
Treatment Outcome