Surgical nursing coordination of transsternal bypass implantation of left ventricular assist device with modified outflow tract: three cases analysis
- VernacularTitle:改良流出道经胸骨旁路植入左心室辅助装置手术的护理配合3例
- Author:
Xueli WANG
1
;
Ronghua GONG
Author Information
- Publication Type:Research Article
- Keywords: trans-sternal approach; left ventricular assist device; modified outflow tract; surgical coordination
- From: Journal of Clinical Medicine in Practice 2024;28(22):119-122
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the surgical nursing coordination methods in the modified outflow tract trans-sternal approach for left ventricular assist device implantation. Methods A retrospective analysis was conducted on the clinical data of 3 patients who underwent modified outflow tract trans-sternal LVAD implantation at our hospital. Results All 3 surgeries were successfully completed. The mean operative time was (311.7±34.1) minutes, and the mean blood loss was (383.3±28.9) mL. Patients were discharged after (48.3±16.8) days postoperatively in average. No significant complications occurred, and the postoperative condition of patients was stable. Conclusion The modified outflow tract for left ventricular assist device implantation provides more stable hemodynamics for patients. Compared with the traditional median sternotomy, the trans-sternal approach not only facilitates the dissection of chest wall tissues and better access to the surgical field but also offers the advantages of smaller incisions and faster recovery. Proficient surgical operation techniques and skilled surgical coordination are crucial for the success of this procedure.
