Your surgeon will give specific instructions before the surgery, including how to avoid risks such as bleeding, infection, and adverse reaction to anesthesia. Please be sure to contact your insurance company for coverage. You also will meet with the anesthesiologist prior to the surgery to go over your medical history. Please do not eat after midnight the night before your surgery.
On the day of surgery, you will arrive at the hospital, get registered, and change into a hospital gown. A nurse will then review your chart to make sure there are no problems. The anesthesiologist will then start an IV, and you will be taken to the operating room, where the surgeon will verify your name and procedure before any medication is given. Surgery will begin once you are under anesthesia.
The surgeon will make a long incision in the chest on the breastbone and access the heart by spreading the rib cage. Cardiopulmonary bypass, a device that pumps oxygenated blood through the rest of the body while bypassing the heart and lungs, may be used in some cases during LVAD installation.
One end of the tube from the LVAD will be connected to the left ventricle, and the other end from the external LVAD will be connected through the abdomen and to the aorta.
Once the device is working properly, you will come off cardiopulmonary bypass and your chest will be closed with stitches.
After the surgery, you will be taken to the intensive care unit and monitored. Pain is likely, so you will be given pain medication appropriately. You will be on a respirator for up to one day to support your breathing, and you won’t be able to speak during this time.
You may also have chest tubes placed to drain excess fluid or blood in the chest after the surgery. It’s important to keep the incision areas clean and dry.
The length of your hospital stay depends on how quickly you’re able to recover and perform some physical activity. Please let your doctor know immediately if you experience fever, severe pain, redness, swelling, or warmth where the incisions were made, or drainage from the incisions. Your surgeon will give specific instructions about recovery time.