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References
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Published online: November 25, 2022
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In Press Journal Pre-ProofFootnotes
Conflicts of interest: The author is a non-compensated, ad hoc scientific advisor for Abbott, CH Biomedical, FineHeart, and Medtronic and a non-compensated medical monitor for Abiomed and a member of the Data Safety Monitoring Board for Carmat and the National Heart, Lung, and Blood Institute, PumpKIN study and receives salary grant support from the National Heart, Lung, and Blood Institute, the Agency for Healthcare Research and Quality, and salary support from the Michigan Society of Thoracic and Cardiovascular Surgery Quality Collaborative.
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- HeartWare HVAD Exchange to HeartMate3: Principles, Techniques, and PitfallsOperative Techniques in Thoracic and Cardiovascular Surgery
- PreviewSince the recall of the HeartWare HVAD device in 2021, the management of the remaining implants range from medical management, transplant, to exchange. This article describes 2 feasible approaches to exchange the HVAD to the HeartMate3 device through a combination of a left lateral thoracotomy with a superior hemi-sternotomy. These approaches minimize dissection and complications of a redo-sternotomy and minimizes bypass time. Pitfalls and solutions are also herein described.
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