Korean J Thorac Cardiovasc Surg 2019; 52(2): 105-108  https://doi.org/10.5090/kjtcs.2019.52.2.105
Temporary Right Ventricular Assist Device Insertion via Left Thoracotomy after Left Ventricular Assist Device Implantation
Ilkun Park , M.D., Yang Hyun Cho , M.D., Ph.D., Su Ryeun Chung , M.D., Ph.D., Dong Seop Jeong , M.D., Ph.D., Kiick Sung , M.D., Ph.D., Wook Sung Kim , M.D., Ph.D., Young Tak Lee , M.D., Ph.D.
Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Corresponding author: Yang Hyun Cho, Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 06351, Korea,
(Tel) 82-2-3410-2213 (Fax) 82-2-3410-0089 (E-mail) mdcho95@gmail.com
Received: May 31, 2018; Revised: July 5, 2018; Accepted: November 14, 2018.; Published online: April 5, 2019.
© The Korean Journal of Thoracic and Cardiovascular Surgery. All rights reserved.

cc This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Right heart failure is a relatively common complication after left ventricular assist device (LVAD) implantation. Severe right heart failure can be managed by temporary right ventricular assist device (RVAD) implantation. However, trans-sternal RVAD insertion requires a subsequent third sternotomy for cannula removal. Herein, we present a case of RVAD insertion via a left anterior mini-thoracotomy after LVAD implantation in a patient with alcohol-induced cardiomyopathy.
Keywords: Right-sided heart failure, Left ventricular assist device, Extracorporeal life support


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