Less invasive implantation of HeartWare left ventricular assist device

Authors describe an LVAD implantation technique, applying the concept of less invasive cardiac surgery, consisting in the association of reduced surgical approaches, off-pump implantation and reduced administration of heparin dose, in order to achieve rapid extubation and rehabilitation of the patient, preserving low morbidity, and still meeting all the goals of the standard procedure. To reduce the invasiveness, authors combine an anterior left minithoracotomy with T-upper reversed ministernotomy.