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Cardiac Recovery Following Left Ventricular Assist Device Therapy: Experience of Complete Device Explantation Including Ventricular Patch Plasty by Takayuki Gyoten; Sebastian V Rojas; Henrik Fox; Masatoshi Hata; Marcus-André Deutsch; René Schramm; Jan F Gummert; Michiel Morshuis is a Medicine article available to read on EtoBox.

What is Cardiac Recovery Following Left Ventricular Assist Device Therapy: Experience of Complete Device Explantation Including Ventricular Patch Plasty about?

## Abstract ## ## OBJECTIVES Myocardial recovery is a rare phenomenon in left ventricular assist device (LVAD) therapy. Surgical LVAD removal is associated with the risk of cardiac failure, and the individual evaluation of sufficient myocardial recovery is crucial. Thus, complete device explantation is not consistently performed to minimize perioperative risk. However, the remaining ventricular assist device components bear significant risks of infection or thrombosis. Therefore, we developed this study to evaluate a complete LVAD explantation protocol. ## METHODS All patients in our institution who had an LVAD explanted were enrolled in the study. Explant surgery involved removal of the driveline, pump housing, sewing ring and outflow graft. The ventricular wall was reconstructed by double patch plasty. Our analysis focused on surgical and postoperative outcome parameters, including all-cause mortality and major adverse cardiac and cerebrovascular events. ## RESULTS A total of 12 patients (HVAD, n = 5; HeartMate II, n = 3; HeartMate 3, n = 4) had myocardial recovery and qualified for our LVAD explantation study protocol [median age: 40 years, interquartile range (IQR) 33–52 years;

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Author

Takayuki Gyoten; Sebastian V Rojas; Henrik Fox; Masatoshi Hata; Marcus-André Deutsch; René Schramm; Jan F Gummert; Michiel Morshuis

Publisher

Oxford University Press (OUP)

Published

2020

Language

EN

Field

Medicine (Health Sciences)