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Anelechi C. Anyanwu, MD, Shinobu Itagakia, MD, Sean Pinney, MD and David H. Adams, MD

Standard implantation of HeartMate II (HMII) left ventricular assist device requires an extended median sternotomy; this incision, while generally well tolerated, may add morbidity in critically ill debilitated patients. We recently adopted a sternum sparing technique for routine HMII implants using a left subcostal incision to create a pocket and access the left ventricular apex, and a right minithoracotomy to access the ascending aorta.

Page Created: January 08, 2018 Last Updated: January 08, 2018

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