2026, Number 4
Cir Card Mex 2026; 11 (4)
HeartMate 3 left ventricular assist device implantation technique: how we do it?
Meza-Carmona, Jorge; Corona-Perezgrovas, Miguel A; Rivera-Navarrete, Erik; Fagoaga-Valdivia, Jorge; Olguín-Sánchez, Cristóbal R; Corona-López, Fernanda
ABSTRACT
The HeartMate 3 left ventricular assist device represents an established therapeutic option of therapy in advanced heart failure. We describe our institutional implantation technique, incorporating three key modifications: a double-ring apical reinforcement system with biological adhesive to optimize hemostasis, a “C”-shaped driveline tunneling technique as an anti-infectious barrier, and transesophageal echocardiography-guided inflow cannula positioning to ensure optimal alignment toward the mitral valve.