Meindert Palmen, MD, PhD, Harriette F. Verwey, MD, PhD, Marlieke L. A

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Implantation of a Left Ventricular Assist Device in Patients With a Complex Apical Anatomy Meindert Palmen, MD, PhD, Harriette F. Verwey, MD, PhD, Marlieke L.A. Haeck, MD, Eduard. R. Holman, MD, PhD, Martin J. Schalij, MD, PhD, Robert J.M. Klautz, MD, PhD The Annals of Thoracic Surgery Volume 94, Issue 6, Pages 2122-2125 (December 2012) DOI: 10.1016/j.athoracsur.2012.05.036 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) The Hegar dilator is inserted after placement of the Fontan stitch to assure the correct position of the inflow cannula. (B) The HeartWare left ventricular assist device being implanted in the sewing ring at the neoapex. (C) Position of the left ventricular assist device inflow cannula, parallel to the septum and directed toward the mitral valve. The Annals of Thoracic Surgery 2012 94, 2122-2125DOI: (10.1016/j.athoracsur.2012.05.036) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions