Off Pump Robotic-Assisted LVAD (HeartWare, HVAD) Placement via Left Mini Thoracotomy

David W. Pantino, Zain Khalpey

Research output: Contribution to journalArticlepeer-review


Patients who require left ventricular assist device (LVAD) placement frequently either have had previous cardiac surgery or will require future sternotomy. As a result, approaches to avoid sternotomies have been explored. Our group has had success with robotic-assisted left mini anterior thoracotomy placement of LVADs. This approach has the advantage of allowing the graft to lie in an anatomic location while avoiding the morbidity associated with a redo median sternotomy. Here we describe our technique, which can be easily adopted by those with experience in robotic-assisted thoracic procedures as well as with LVAD placement through a hemisternotomy and anterior thoracotomy.

Original languageEnglish (US)
Pages (from-to)68-77
Number of pages10
JournalOperative Techniques in Thoracic and Cardiovascular Surgery
Issue number1
StatePublished - Feb 1 2017


  • LVAD
  • Redo sternotomy
  • Robotic

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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