A variety of right ventricular assist devices (RVAD) options are commonly used, including traditional surgical RVAD and various percutaneous RVAD like the ProtekDuo cannula (LivaNova, London, UK). We report the first case of a patient with a ProtekDuo cannula inserted directly via the transauricular route through a mini right thoracotomy due to the inability to implant via the jugular vein.
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