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Use of Computed Tomography in Preoperative Planning for Heartware Left Ventricular Assist Device Placement

Acharya, Deepak*; Aryal, Sudeep*; Loyaga-Rendon, Renzo; Pamboukian, Salpy V.*; Tallaj, José*; Kirklin, James K.; Holman, William L.; Singh, Satinder§

doi: 10.1097/MAT.0000000000000761
Adult Circulatory Support

Optimal left ventricular assist device (LVAD) cannula position is important for adequate ventricular unloading and LVAD function. Poor inflow cannula position predisposes to pump thrombosis, inotrope dependence, and mortality. We describe a novel technique of preoperative left ventricular apex marking using CT guidance and demonstrate in three cases the use of this method to achieve optimal inflow cannula positioning for lateral thoracotomy Heartware LVAD implantation.

From the *Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama

Section of Advanced Heart Failure, Spectrum Health, Grand Rapids, Michigan

Division of Cardiovascular Surgery, University of Alabama at Birmingham, Birmingham, Alabama

§Division of Cardiopulmonary Radiology, University of Alabama at Birmingham, Birmingham, Alabama.

Submitted for consideration May 2017; accepted for publication in revised form January 2018.

Disclosure: The authors have no conflicts of interest to report.

Correspondence: Deepak Acharya, Division of Cardiovascular Diseases, University of Alabama at Birmingham, THT 321, 1900 University Boulevard, Birmingham, AL 35294. Email:

Copyright © 2019 by the American Society for Artificial Internal Organs