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Surgical Correction of Spontaneous Outflow Graft Twisting of HeartMate III via a Subcostal Approach
  • Hidefumi Nishida,
  • Valluvan Jeevanandam,
  • Takeyoshi Ota
Hidefumi Nishida
University of Chicago
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Valluvan Jeevanandam
University of Chicago
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Takeyoshi Ota
University of Chicago
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Abstract

We experienced two cases of successful surgical correction of HeartMate 3 outflow graft twisting through a subcostal approach. They were diagnosed with computed tomography or pull back pressure measurement. Technically, a subcostal approach allowed us to access directly to the twisted outflow graft and the device connector in a less invasive fashion without a re-sternotomy. Diagnostic modality and surgical tips are presented.