A safe and simple method of preserving right ventricular function during implantation of a left ventricular assist device

Matthias Loebe; Evgenij Potapov; Ralf Sodian; Michael Kopitz; George P. Noon

doi:10.1067/mtc.2001.116197

A safe and simple method of preserving right ventricular function during implantation of a left ventricular assist device

Matthias Loebe, Evgenij Potapov, Ralf Sodian, Michael Kopitz, George P. Noon

Research output: Contribution to journal › Article › peer-review

Original language	English (US)
Pages (from-to)	1043
Number of pages	1
Journal	Journal of Thoracic and Cardiovascular Surgery
Volume	122
Issue number	5
DOIs	https://doi.org/10.1067/mtc.2001.116197
State	Published - Nov 1 2001
Externally published	Yes

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

Access to Document

10.1067/mtc.2001.116197

Cite this

@article{e1ab11d4a4a946389ddb6b6d8fefabd9,

title = "A safe and simple method of preserving right ventricular function during implantation of a left ventricular assist device",

author = "Matthias Loebe and Evgenij Potapov and Ralf Sodian and Michael Kopitz and Noon, {George P.}",

note = "Funding Information: A, Total view of the tube setting of CPB for LVAD implantation. B, Tube setting of CPB during LVAD implantation. The connection between arterial line and pulmonary cannula is clamped, and the pulmonary cannula is used as the vent. C, Tube setting for right ventricular reperfusion after LVAD implantation. The aortic cannula is clamped, the connection between the arterial line and the pulmonary cannula is opened, and right-sided heart reperfusion is initiated. The LVAD is implanted with the heart beating, while blood is drained through the vent line connected to the pulmonary artery. After completion of the implant procedure, suction is halted, and the device is carefully deaired. When the LVAD is started and CPB flow can be reduced to 2 L/min, both the aortic cannula and the vent line are clamped, the connecting line is opened, and right-sided heart reperfusion is initiated ( Figure 1, C ). In this setting the left ventricle is supported by the LVAD, and the CPB supports the right ventricle. During right-sided heart reperfusion, optimal LVAD function is adjusted, and medical therapy to support right ventricular function (including nitric oxide inhalation and catecholamine administration) is begun. On hemodynamic stabilization with normal electrocardiogram readings and central venous pressures below 10 mm Hg, CPB support is further reduced and finally discontinued. ",

year = "2001",

month = nov,

day = "1",

doi = "10.1067/mtc.2001.116197",

language = "English (US)",

volume = "122",

pages = "1043",

journal = "Journal of Thoracic and Cardiovascular Surgery",

issn = "0022-5223",

publisher = "Mosby Inc.",

number = "5",

}

TY - JOUR

T1 - A safe and simple method of preserving right ventricular function during implantation of a left ventricular assist device

AU - Loebe, Matthias

AU - Potapov, Evgenij

AU - Sodian, Ralf

AU - Kopitz, Michael

AU - Noon, George P.

N1 - Funding Information: A, Total view of the tube setting of CPB for LVAD implantation. B, Tube setting of CPB during LVAD implantation. The connection between arterial line and pulmonary cannula is clamped, and the pulmonary cannula is used as the vent. C, Tube setting for right ventricular reperfusion after LVAD implantation. The aortic cannula is clamped, the connection between the arterial line and the pulmonary cannula is opened, and right-sided heart reperfusion is initiated. The LVAD is implanted with the heart beating, while blood is drained through the vent line connected to the pulmonary artery. After completion of the implant procedure, suction is halted, and the device is carefully deaired. When the LVAD is started and CPB flow can be reduced to 2 L/min, both the aortic cannula and the vent line are clamped, the connecting line is opened, and right-sided heart reperfusion is initiated ( Figure 1, C ). In this setting the left ventricle is supported by the LVAD, and the CPB supports the right ventricle. During right-sided heart reperfusion, optimal LVAD function is adjusted, and medical therapy to support right ventricular function (including nitric oxide inhalation and catecholamine administration) is begun. On hemodynamic stabilization with normal electrocardiogram readings and central venous pressures below 10 mm Hg, CPB support is further reduced and finally discontinued.

PY - 2001/11/1

Y1 - 2001/11/1

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DO - 10.1067/mtc.2001.116197

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