We report a case of HeartMate II® left ventricular assist device (LVAD) implantation as a destination therapy in a patient with a patent ventriculoperitoneal (VP) shunt after being suffered from subarachnoid hemorrhage. Because the patient's VP shunt was running through her right anterior chest and abdominal wall, a driveline exit site was selected in her left upper quadrant to avoid unnecessary perioperative complication in relation to the patent VP shunt tube. Tailored driveline placement was a key element of this LVAD implantation in this already sick patient with multiple comorbidities.
Recommended CitationYamane, Kentaro; Bogar, Linda J; Tabata, Shigeki; and Hirose, Hitoshi, "Thoratec HeartMate II(®) Left Ventricular Assist Device Implantation in Patient with Patent Ventriculoperitoneal Shunt." (2012). Department of Surgery Faculty Papers. Paper 49.