The Thoratec System Implanted as a Modified Total Artificial Heart: the Bad Oeynhausen Technique
DOI:
https://doi.org/10.1532/HSF98.20101142Abstract
The CardioWest™ total artificial heart (SynCardia Systems, Tuscon, AZ, USA) is the only FDA-approved total artificial heart determined as a bridge to human heart transplantation for patients dying of biventricular heart failure. Implantation provides immediate hemodynamic restoration and clinical stabilization, leading to end-organ recovery and thus eventually allowing cardiac transplantation. Occasionally, implantation of a total artificial heart is not feasible for anatomical reasons. For this patient group, we have developed an alternative technique using the paracorporeal Thoratec biventricular support system (Thoratec, Pleasanton, CA, USA) as a modified total artificial heart. A detailed description of the implantation technique is presented.References
Arabia FA. 2001. Update on the total artificial heart. J Card Surg 16:222-7.nCopeland JG, Smith RG, Arabia FA, et al. 2004. Cardiac replacement with a total artificial heart as a bridge to transplantation. N Engl J Med 351:859-67.nLeprince P, Bonnet N, Rama A, et al. 2003. Bridge to transplantation with the Jarvik-7 (CardioWest) total artificial heart: a single-center 15-year experience. J Heart Lung Transplant 22:1296-303.n