Left Ventricular Assist Device Implantation to the Left Subclavian Artery With Distal Banding: A Novel Technique for Hostile Chest Article

Full Text via DOI: 10.1016/j.athoracsur.2021.08.010 Web of Science: 000821591100015

Cited authors

  • Endi R, Vu T, Bansal A


  • Patients with hostile chests are often precluded from the use of left ventricular assist device therapies for advanced heart failure. We describe a technique for left ventricular assist device implantation using a left thoracotomy approach with outflow graft anastomosis to the left subclavian artery and placement of a distal band to the left subclavian artery. Distal banding of the left subclavian artery prevents over-circulation to the left upper extremity. This technique provides an alternative approach for left ventricular assist device implantation in patients who otherwise would be deemed inoperable because of hostile chest. (C) 2022 by The Society of Thoracic Surgeons

Publication date

  • 2022

Published in

International Standard Serial Number (ISSN)

  • 0003-4975

Number of pages

  • 3

Start page

  • E381

End page

  • E383


  • 113


  • 5