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The Less-Invasive (Lateral) Approach to Left Ventricular Device Implantation 

The Less-Invasive (Lateral) Approach to Left Ventricular Device Implantation
The Less-Invasive (Lateral) Approach to Left Ventricular Device Implantation

Edwin C. McGee

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date: 16 January 2021

Left ventricular assist devices (LVADs) are a well-established therapy for patients with end-stage heart failure, either as a bridge to transplantation or as long-term destination therapy. With the advent of continuous flow pumps, LVAD implantation has become standardized. The 30-day surgical mortality in standard-risk patients approaches that of conventional cardiac surgery in experienced centers. Intermediate survival rates approximate that of heart transplantation. Less-invasive approaches have been devised to further decrease implant and explant morbidity. This chapter summarizes less-invasive LVAD implantation and discusses the nuances and pitfalls of the surgical technique.

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