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Fig. 2 | Journal of Cardiothoracic Surgery

Fig. 2

From: Left ventricular assist device exchange from HeartMate II to HeartMate 3 in an Asian patient—a case report and literature review

Fig. 2

The surgical procedure of HMII pump exchange to HM3. A Limited left anterior thoracotomy and lower partial sternotomy were done to approach the HMII pump and the outflow graft. B, C The HMII pump was dissected out and explored. D After removing the tie bands, the HMII pump was removed. The inflow connector of the HMII pump was left in place. E Because the HMII inflow connector is larger than the HM3 inflow connector, we wrapped the inflow connector in three layers with the finger portion of the surgical glove to avoid the size mismatch problem between the HMII inflow connector and HM3 pump. F Then the HM3 pump was inserted into the HMII inflow connector and fixed with two tie bands (F)

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