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Implanted Jarvik 2000 FlowMaker left ventricular assist device: three-dimensional computed tomography reconstruction

Implanted Jarvik 2000 FlowMaker left ventricular assist device: three-dimensional computed... European Journal of Cardio-thoracic Surgery 35 (2009) 731 www.elsevier.com/locate/ejcts Images in cardio-thoracic surgery Implanted Jarvik 2000 FlowMaker left ventricular assist device: three-dimensional computed tomography reconstruction a, b a a Massimo Bonacchi , Manlio Acquafresca , Massimo Maiani , Guido Sani Cardiac Surgery, Department of Medical-Surgical Critical Area, University of Florence, Firenze, Italy Radiology Service, Department of Diagnostic Images, AOU ‘‘Careggi’’, Firenze, Italy Received 7 November 2008; received in revised form 8 January 2009; accepted 12 January 2009; Available online 14 February 2009 Keywords: Left ventricular assist device; Jarvik 2000 FlowMaker; 3-D CT reconstruction A 45-year-old man with recurrence of acute HF due to Physio N 30), underwent a Jarvik 2000 FlowMaker end-stage dilatative cardiomyopathy, evolving from hy- implantation (Fig. 1). Heart transplantation was contra- pertrophic non-obstructive cardiomyopathy, despite max- indicated due to severe fixed pulmonary hypertension imal medical therapy and mitral-annuloplasty (Carpentier (11 UW). Fig. 1. A postoperative computed tomographic scan showed a satisfactory position of the device. The post-implantation 3-D CT reconstruction (multiscan, 64-slice) showed clearly, in different aspects, the LVAD intraventraventricular position (A), the device’s inflow aspect (B) and the outflow graft (C), routing with a ‘softly’ circuit, reducing the likelihood of kinking, first in left pleural-diaphragmatic space, down to left pulmonary hilus, and after parallel to aorta just to anastomosis side to the first tract of descending aorta (D). The drive line (E) and the prosthetic mitral ring are also visible (F). * Corresponding author. Address: Cardiac Surgery, Department of Medical-Surgical Critical Area, University of Florence, Viale Morgagni, 85, 50134 Firenze, Italy. Fax: +39 055 9475458. E-mail address: mbonacchi@unifi.it (M. Bonacchi). 1010-7940/$ — see front matter # 2009 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved. doi:10.1016/j.ejcts.2009.01.019 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Cardio-Thoracic Surgery Oxford University Press

Implanted Jarvik 2000 FlowMaker left ventricular assist device: three-dimensional computed tomography reconstruction

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References (1)

Publisher
Oxford University Press
Copyright
© 2008 European Association for Cardio-Thoracic Surgery
Subject
Images in cardio-thoracic surgery
ISSN
1010-7940
eISSN
1873-734X
DOI
10.1016/j.ejcts.2009.01.019
pmid
19223192
Publisher site
See Article on Publisher Site

Abstract

European Journal of Cardio-thoracic Surgery 35 (2009) 731 www.elsevier.com/locate/ejcts Images in cardio-thoracic surgery Implanted Jarvik 2000 FlowMaker left ventricular assist device: three-dimensional computed tomography reconstruction a, b a a Massimo Bonacchi , Manlio Acquafresca , Massimo Maiani , Guido Sani Cardiac Surgery, Department of Medical-Surgical Critical Area, University of Florence, Firenze, Italy Radiology Service, Department of Diagnostic Images, AOU ‘‘Careggi’’, Firenze, Italy Received 7 November 2008; received in revised form 8 January 2009; accepted 12 January 2009; Available online 14 February 2009 Keywords: Left ventricular assist device; Jarvik 2000 FlowMaker; 3-D CT reconstruction A 45-year-old man with recurrence of acute HF due to Physio N 30), underwent a Jarvik 2000 FlowMaker end-stage dilatative cardiomyopathy, evolving from hy- implantation (Fig. 1). Heart transplantation was contra- pertrophic non-obstructive cardiomyopathy, despite max- indicated due to severe fixed pulmonary hypertension imal medical therapy and mitral-annuloplasty (Carpentier (11 UW). Fig. 1. A postoperative computed tomographic scan showed a satisfactory position of the device. The post-implantation 3-D CT reconstruction (multiscan, 64-slice) showed clearly, in different aspects, the LVAD intraventraventricular position (A), the device’s inflow aspect (B) and the outflow graft (C), routing with a ‘softly’ circuit, reducing the likelihood of kinking, first in left pleural-diaphragmatic space, down to left pulmonary hilus, and after parallel to aorta just to anastomosis side to the first tract of descending aorta (D). The drive line (E) and the prosthetic mitral ring are also visible (F). * Corresponding author. Address: Cardiac Surgery, Department of Medical-Surgical Critical Area, University of Florence, Viale Morgagni, 85, 50134 Firenze, Italy. Fax: +39 055 9475458. E-mail address: mbonacchi@unifi.it (M. Bonacchi). 1010-7940/$ — see front matter # 2009 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved. doi:10.1016/j.ejcts.2009.01.019

Journal

European Journal of Cardio-Thoracic Surgery – Oxford University Press

Published: Apr 1, 2009

Keywords: Keywords Left ventricular assist device Jarvik 2000 FlowMaker 3-D CT reconstruction

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