case_images: PMC10517048_01
case_images: Concomitant mitral and tricuspid valve repair with biventricular assist device implantation.
case_images: fcvm-10-1251837-g001.jpg
case_images: PMC10517048_01_fcvm-10-1251837-g001.jpg
case_images: F1
case_images: A HeartMate 3 apical cuff was secured to the LV apex, which was then vented. (iv) The interatrial septum over the TandemHeart LA cannula was incised with care to remove thrombus on the cannula to avoid embolization, and the cannula was then removed. (v) The mitral valve was readily visualized via trans-septal incision, due to the large LA and absence of aortic insufficiency (AI). A 32-mm mitral annuloplasty rigid ring was used for annular downsizing. (vi) The septum was closed and a 28-mm tricuspid valve annuloplasty ring was secured to the annulus (Figure 1). (vii) We then removed the LV core, secured the HeartMate 3, and sewed the outflow graft to the ascending aorta. A Dacron graft (8 mm) was sewn onto the pulmonary artery and tunneled through the skin inferiorly. A 20 Fr arterial cannula was inserted into the graft and secured with umbilical tape and silk ties. (ii) A Dacron graft (12 mm) was anastomosed to the right atrium and tunneled through the skin, and a 28 Fr cannula was then placed and secured (Figure 2). (iii) Cannulas were connected to a CentriMag with flow established at 3.5 L/min (Figure 1).
case_images: Biventricular device implantation with RVAD cannula placement, including tunneled inflow and outflow grafts to optimize decannulation.
case_images: fcvm-10-1251837-g002.jpg
case_images: PMC10517048_01_fcvm-10-1251837-g002.jpg
case_images: F2
case_images: A Dacron graft (8 mm) was sewn onto the pulmonary artery and tunneled through the skin inferiorly. A 20 Fr arterial cannula was inserted into the graft and secured with umbilical tape and silk ties. (ii) A Dacron graft (12 mm) was anastomosed to the right atrium and tunneled through the skin, and a 28 Fr cannula was then placed and secured (Figure 2). (iii) Cannulas were connected to a CentriMag with flow established at 3.5 L/min (Figure 1).