Howard K. Song, MD, PhD, Frederick A

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Presentation transcript:

Right Ventricular Outflow Tract Cannulation for Right Ventricular Assist Device Implantation Howard K. Song, MD, PhD, Frederick A. Tibayan, MD, James Mudd, MD, Jill Gelow, MD, Matthew S. Slater, MD The Annals of Thoracic Surgery Volume 96, Issue 1, Pages 333-335 (July 2013) DOI: 10.1016/j.athoracsur.2013.02.047 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Surgeon's view of the RVAD after right ventricular outflow tract cannulation. This intraoperative view under the patient's left hemisternum was taken from the patient's right side. F denotes the felt pledget rings between the RVOT surface and the sewing ring. P denotes the pericardium that has been incised and then closed around the RVAD inflow cannula. V denotes the RVAD pump housing that is resting in the patient's left chest over the hilum of the left lung. (RVAD = right ventricular assist device; RVOT = right ventricular outflow tract.) The Annals of Thoracic Surgery 2013 96, 333-335DOI: (10.1016/j.athoracsur.2013.02.047) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Postoperative (A) posterior-anterior and (B) lateral chest radiographs. The RVAD inflow cannula is pointed inferiorly and posteriorly from its insertion on the left lateral right ventricular outflow tract, toward the tricuspid valve. The RVAD inflow cannula is roughly parallel to the LVAD inflow cannula on the opposite side of the interventricular septum, rather than perpendicular to the LVAD inflow cannula and septum. (LVAD = left ventricular assist device; RVAD = right ventricular assist device.) The Annals of Thoracic Surgery 2013 96, 333-335DOI: (10.1016/j.athoracsur.2013.02.047) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions