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Hart B, Mokadam NA, Anam K, Saklayen S, Dimitrova G, Zuleta-Alarcon A, Holloway J, Awad H, Convissar D, Essandoh M. Refractory Hypotension During Implantation of a 70 mL Total Artificial Heart in a Patient With Pectus Excavatum: A Case Report. Semin Cardiothorac Vasc Anesth 2023; 27:239-243. [PMID: 36803338 DOI: 10.1177/10892532231157529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2023]
Abstract
The Syncardia total artificial heart system is the only commercially approved durable device for treating biventricular heart failure patients awaiting heart transplantation. Conventionally, the Syncardia total artificial heart system is implanted based on the distance from the anterior aspect of the 10th thoracic vertebra to the sternum and the patient's body surface area. However, this criterion does not account for chest wall musculoskeletal deformities. This case report describes a patient with a pectus excavatum who developed compression of the inferior vena cava after Syncardia total artificial heart implantation and how transesophageal echocardiography guided chest wall surgery to accommodate the total artificial heart system.
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Affiliation(s)
- Brendon Hart
- Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Nahush A Mokadam
- Department of Surgery, Division of Cardiothoracic Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Karina Anam
- Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Samiya Saklayen
- Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Galina Dimitrova
- Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Alix Zuleta-Alarcon
- Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Jordan Holloway
- Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Hamdy Awad
- Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - David Convissar
- Division of Cardiac Anesthesiology, Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital-Harvard Medical School, Boston, MA, USA
| | - Michael Essandoh
- Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
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Coyan GN, Huckaby LV, Diaz‐Castrillon CE, Miguelino AM, Kilic A. Trends and outcomes following total artificial heart as bridge to transplant from the UNOS database. J Card Surg 2022; 37:1215-1221. [DOI: 10.1111/jocs.16329] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Revised: 11/08/2021] [Accepted: 11/30/2021] [Indexed: 12/12/2022]
Affiliation(s)
- Garrett N. Coyan
- Division of Cardiac Surgery University of Pittsburgh Medical Center Pittsburgh Pennsylvania USA
| | - Lauren V. Huckaby
- Division of Cardiac Surgery University of Pittsburgh Medical Center Pittsburgh Pennsylvania USA
| | | | - Alyssa M. Miguelino
- Division of Cardiac Surgery University of Pittsburgh Medical Center Pittsburgh Pennsylvania USA
| | - Arman Kilic
- Division of Cardiothoracic Surgery Medical University of South Carolina Charleston South Carolina USA
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Henn MC, Mokadam NA. Right ventricular dysfunction is best managed with a total artificial heart. JTCVS OPEN 2021; 8:42-46. [PMID: 36004155 PMCID: PMC9390209 DOI: 10.1016/j.xjon.2021.10.050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Accepted: 10/25/2021] [Indexed: 06/15/2023]
Affiliation(s)
| | - Nahush A. Mokadam
- Address for reprints: Nahush A. Mokadam, MD, Division of Cardiac Surgery, The Ohio State University Wexner Medical Center, 410 W 10th Ave, N-825 Doan Hall, Columbus, OH 43210.
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