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Less-invasive off-pump ventricular assist device implantation in regional paravertebral analgesia
Authors:Tomaso Bottio  Jonida Bejko  Gianclaudio Falasco  Giacomo Bortolussi  Michele Gallo  Vincenzo Tarzia  Gino Gerosa
Institution:1. Department of Cardiology and Cardiovascular Surgery, University of Padova Medical School, Padova, Italy
Abstract:We describe the clinical course and treatment of a 58-year-old male with a primary cardiogenic shock, who underwent a minimally invasive off-pump ventricular-assist-device (VAD) implantation with the aid of paravertebral regional analgesia. He was extubated soon after the procedure, in the operating room, with the aim to reduce the right ventricle impairment. We illustrate how a minimally invasive implant may improve the clinical outcomes of VAD patients shortening their return time to active life.
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