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Tytuł:
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Off-Pump Explant of a Left Ventricular Assist Device Using a Recovery Plug in a Pediatric Patient.
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Autorzy:
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Geoffrion TR; Division of Cardiothoracic Surgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. Electronic address: .
Lawrence KM; Department of Surgery, New York-Presbyterian Hospital, Weill Cornell Medicine, New York, New York.
O'Connor MJ; Division of Cardiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Chen JM; Division of Cardiothoracic Surgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
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Źródło:
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The Annals of thoracic surgery [Ann Thorac Surg] 2021 Apr; Vol. 111 (4), pp. e291-e293. Date of Electronic Publication: 2020 Sep 18.
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Typ publikacji:
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Case Reports; Video-Audio Media
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Język:
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English
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Imprint Name(s):
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Publication: Amsterdam : Elsevier
Original Publication: Boston.
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MeSH Terms:
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Recovery of Function*
Device Removal/*methods
Heart Failure/*surgery
Heart Ventricles/*surgery
Heart-Assist Devices/*adverse effects
Adolescent ; Echocardiography ; Heart Failure/diagnosis ; Heart Failure/physiopathology ; Heart Ventricles/diagnostic imaging ; Humans ; Magnetic Resonance Imaging, Cine/methods ; Male
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Entry Date(s):
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Date Created: 20200921 Date Completed: 20210406 Latest Revision: 20210406
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Update Code:
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20240105
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DOI:
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10.1016/j.athoracsur.2020.06.126
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PMID:
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32956674
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Though the numbers remain small, the use of continuous-flow left ventricular assist devices as a bridge to recovery in pediatric patients has been increasing. Select patients may have sufficient myocardial recovery to allow for device removal. Here, we describe a 13-year old requiring left ventricular assist device implantation for myocarditis who was referred for explant of the device after recovery. This was performed via thoracotomy, without cardiopulmonary bypass, using a newly developed titanium recovery plug that is custom designed to fit the HeartMate 3.
(Copyright © 2021 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)