ArticleTexas Heart Institute journal2017
Titanium Plug Closure after HeartWare Ventricular Assist Device Explantation in a 15-Year-Old Girl: First U.S. Experience.
Article in Texas Heart Institute journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 12 citations in OpenAlex.
- Case report: decommissioning of a left ventricular assist device following reverse remodeling in non-ischemic cardiomyopathy patient.Journal of cardiothoracic surgery · 2026Article
- Article
- HeartMate 3 Explantation Using Felt Plug for Ventriculotomy Occlusion.Methodist DeBakey cardiovascular journal · 2023Article
- Results from a multicentre evaluation of plug use for left ventricular assist device explantation.Interactive cardiovascular and thoracic surgery · 2022Article
- Management of Advanced Heart Failure in Children with Cancer Therapy-Related Cardiac Dysfunction.Children (Basel, Switzerland) · 2021Review
- A detailed explantation assessment protocol for patients with left ventricular assist devices with myocardial recovery.Interactive cardiovascular and thoracic surgery · 2021Article
- Simple Felt-Plug Closure Technique for Minimally Invasive Removal of a Centrifugal-Flow Left Ventricular Assist Device.Texas Heart Institute journal · 2020Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We describe the case of a teenage girl with anthracycline-induced cardiomyopathy who received a HeartWare ventricular assist device and underwent successful device explantation after cardiac recovery. During device support, the patient's cardiac function returned to normal. Twelve months after implantation, we explanted the device via repeat median sternotomy. To close the hole in the left ventricular apex and preserve the sewing ring in case future device support is needed, we used a German-manufactured titanium plug, developed specifically for this purpose. To our knowledge, this is the first use of this plug in the United States. The patient recovered uneventfully and was discharged from the hospital on postoperative day 11. Left ventricular biopsy specimens at explantation revealed the resolution of previous degenerative sarcomeric changes. Our patient did well clinically; however, recurrent late anthracycline cardiotoxicity might subsequently cause her cardiac function to deteriorate. In this event, our use of the titanium plug to preserve the left ventricular sewing ring would enable easier device replacement than would other explantation options.
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