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Perioperative Management of Two Patients with Left Ventricular Assist Devices Presenting for Noncardiac Surgery in the Prone Position

Chacon, M. Megan MD; Hattrup, Emily A. MD; Shillcutt, Sasha K. MD, FASE

doi: 10.1213/XAA.0000000000000002
Case Reports: Case Report

Ventricular assist devices (VADs) provide mechanical circulatory support for patients with advanced heart failure. Patients with VADs are presenting for noncardiac surgery with increasing frequency. Understanding anesthetic management of patients with VADs is timely and necessary for perioperative physicians. We present 2 patients supported by left VADs who required intraoperative prone positioning, and how transesophageal echocardiography and VAD variables can be used to guide management.

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From the Department of Anesthesiology, University of Nebraska Medical Center, Omaha, Nebraska.

Accepted for publication September 24, 2013

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Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Sasha K. Shillcutt, MD, Department of Anesthesiology, University of Nebraska Medical Center, 981145 Nebraska Medical Center, Omaha, Nebraska. Address e-mail to

© 2014 International Anesthesia Research Society