Integrated surgical strategy for implantation of left ventricular assist devices

VernacularTitle:植入式左心室辅助装置的综合手术策略
Author: Shuanglei ZHAO ¹ ; Jie HAN ¹ ; Wenjian JIANG ¹ ; Hongjia ZHANG ¹ ; Ming GONG ¹
Author Information

1. 首都医科大学附属北京安贞医院心脏外科，北京　100029
Publication Type:Journal Article
From: Chinese Journal of Thoracic and Cardiovascular Surgery 2024;40(12):764-768
CountryChina
Language:Chinese
Abstract: As auxiliary artificial organ, left ventricular assist device (LVAD) can only assist the left ventricle of the human heart, but cannot completely replace the human heart. However, end-stage heart failure patients requiring LVAD implantation often suffer other anatomical comorbidities, including lesions of aorta, aortic valve, mitral valve, tricuspid valve, and coronary artery. Thus, in most cases, the implant alone is not enough and requires multiple additional cardiac and aortic procedures. However, the indications and benefits of LVAD implantation in combination with other cardiac and aortic procedures are still unclear. Previous retrospective studies have not reached consistent conclusions. There is a lack of systematic understanding of this issue in China. Therefore, we provide an overview of the integrated surgical strategy for implantation of LVAD, aiming to help clinicians have a comprehensive understanding of this issue and provide some guidance.