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Left Ventricular Assist Device End-to-End Connection to the Left Subclavian Artery: An Alternative Technique Giacomo Bortolussi, MD, Alban Lika, MD, Jonida Bejko, MD, Michele Gallo, MD, Vincenzo Tarzia, MD, PhD, Gino Gerosa, MD, Tomaso Bottio, MD, PhD The Annals of Thoracic Surgery Volume 100, Issue 4, Pages e93-e95 (October 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions
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Fig 1 Surgical exposure of axillary vessels for outflow graft anastomosis. Note the end-to-end connection to the proximal artery, and end-to-side anastomosis to the distal vessel (red). The vein is retracted caudally (blue). The Annals of Thoracic Surgery , e93-e95DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions
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Fig 2 Intraoperative view of the subclavian incision showing left ventricular assist device outflow graft (asterisk), distal portion of axillary artery (arrow), axillary vein (arrowhead). The Annals of Thoracic Surgery , e93-e95DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions
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Fig 3 Computed tomographic angiographic view at 3-month follow-up. (A) Mediolateral oblique view. (B) Craniocaudal view. Anterior (a), posterior (p), outflow graft (arrow) partially covered with Gore-Tex graft (arrowhead), proximal axillary artery (asterisk), distal axillary artery (star), terminoterminal anastomosis (T-T); terminolateral anastomosis (T-L). The Annals of Thoracic Surgery , e93-e95DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions
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