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DOI: 10.1055/s-2007-989248
© Georg Thieme Verlag KG Stuttgart · New York
Creation of a Self-Made Total Artificial Heart Using Combined Components of Available Ventricular Assist Devices
Publication History
Received July 19, 2007
Publication Date:
17 January 2008 (online)
Background
Heart failure is one of the most common causes of death in the developed world. Surgical implantation of a left ventricular assist device (LVAD) can improve mortality in patients with advanced heart failure [[1]]. However, sometimes preservation of the native heart is not possible and a total artificial heart (TAH) has to be implanted. The reasons for this are mainly ventricular clots, massive ventricular infarction, cardiac arrhythmia, valvular regurgitation or intracardial communications [[2]]. Unfortunately, TAHs are not always available in cardiothoracic units and implantation of a biventricular assist device is often not feasible in these patients.
We report on a self-made TAH using combined components of the extracorporal Thoratec (Thoratec Corp., Pleasanton, CA, USA) and the ExCor BerlinHeart (BerlinHeart, Berlin, Germany) systems.
References
- 1 Rose E A, Gelijns A C, Moskowitz A J. et al . Long-term mechanical left ventricular assistance for end-stage heart failure. N Engl J Med. 2001; 345 1435-1443
- 2 Copeland J G. Bridge to transplantation: selection and timing. Transplant Proc. 2000; 32 1535-1536
- 3 Samuels L. Biventricular mechanical replacement. Surg Clin North Am. 2004; 84 309-321
- 4 Korfer R, El-Banayosy A, Morshuis M. et al . Total artificial heart-implantation technique using the CardioWest or the Thoratec system. MMCTS 2006;. 2007; 3 1-9
- 5 Sezai A, Arusoglu L, Minami K. et al . Implantation of biventricular assist devices for chronic heart transplant rejection. Ann Thorac Surg. 2002; 74 609-611
Prof. Dr. Dr. Tonny D. T. Tjan
Department of Thoracic and Cardiovascular Surgery
University Hospital Muenster
Albert-Schweitzer-Straße 33
48149 Muenster
Germany
Fax: + 49 25 18 34 83 16
Email: tdt.tjan@ukmuenster.de