Robotic pericardial patch closure by the subxiphoid approach

ASVIDE ◽  
2016 ◽  
Vol 3 ◽  
pp. 279-279
Author(s):  
Takashi Suda
Author(s):  
Olivia K. Ginty ◽  
Ferns H. Khaliel ◽  
Corey Adams ◽  
Michael W. A. Chu

We describe a technique of left atrial appendage occlusion that consists of autologous pericardial patch closure of the left atrial appendage orifice from within the left atrium. This pericardial patch exclusion technique has little added risk of bleeding, can be performed through sternotomy or right minithoracotomy, and can be used in re-operative situations.


Perfusion ◽  
2003 ◽  
Vol 18 (6) ◽  
pp. 365-367 ◽  
Author(s):  
Justin Resley ◽  
Dave Fitzgerald ◽  
Robert Albus ◽  
Paul Massimiano

2020 ◽  
Vol 47 (4) ◽  
pp. 325-328
Author(s):  
George V. Letsou ◽  
Fadi I. Musfee ◽  
Andrew D. Lee ◽  
Faisal Cheema ◽  
Reynolds M. Delgado ◽  
...  

We report the long-term survival of a 46-year-old man supported with a HeartMate II continuous-flow left ventricular assist device after complex repair of a bicuspid aortic valve, anomalous left main coronary artery, and dilated aorta. He has been maintained on an anticoagulation regimen of warfarin and low-dose aspirin without problems for 10 years, during which he has worked continuously and productively. Device flow has been kept at 10,000 rpm. Possible contributors to this long-term success include proper alignment of the device inflow cannula, pericardial patch closure of the left ventricular outflow tract, and, notably, the remarkable freedom from mechanical failure of the continuous-flow left ventricular assist device. Whether the higher flow rate produced by the pericardial patch closure contributes to pump longevity is unknown and merits further investigation.


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