Off-pump left ventricular assist device exchange via re-do left mini-thoracotomy with original outflow graft preservation

Jessika Iwanski, Phat L. Tran, Catherine Jerman, Richard Smith, Toshinobu Kazui, Zain I Khalpey

Research output: Contribution to journalArticle

1 Scopus citations


Complications associated with long-term left ventricular assist device (LVAD) use may require pump exchange due to device thrombosis or thromboembolism. Minimally invasive off-pump procedures represent an advantageous alternative to standard full sternotomy exchanges and those performed with the use of cardiopulmonary bypass. By mitigating surgical invasion and trauma to the central chest, the potential for post-operative bleeding, transfusions and complications can be reduced. This case report describes the successful off-pump exchange of a HeartWare LVAD via left re-do-thoracotomy with the re-use of the original outflow graft.

Original languageEnglish (US)
Pages (from-to)179-182
Number of pages4
JournalPerfusion (United Kingdom)
Issue number3
StatePublished - 2017



  • HeartWare exchange
  • Left ventricular assist device (LVAD)
  • Minimally-invasive
  • Off-pump

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Safety Research
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

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