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MMCTS (March 29, 2007). doi:10.1510/mmcts.2006.002485
Copyright © 2007 European Association for Cardio-thoracic Surgery

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Reiner Körfer
Gero Tenderich
Nils Reiss
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Right arrow Mechanical circulatory support by total artificial heart
 

Procedure


Total artificial heart-implantation technique using the CardioWest or the Thoratec system

Reiner Körfer*, Aly El Banayosy, Michiel Morshuis, Gero Tenderich, Nils Reiss and Latif Arusoglu

Heart and Diabetes Center North Rhine-Westphalia, Department of Thoracic and Cardiovascular Surgery, Ruhr-University of Bochum, Georgstrasse 11, 32549 Bad Oeynhausen, Germany

* Corresponding author: * Tel.: +49-5731 971331; fax: +49-5731 971820. E-mail: rkoerfer{at}hdz-nrw.de

Total artificial heart is a safe and efficient bridge for patients with terminal congestive heart failure awaiting cardiac transplantation. The implantation of the CardioWest total artificial heart has become an accepted therapeutic option in critically ill patients who have irreversible biventricular failure and are candidates for cardiac transplantation. Because of anatomical limitations in smaller patients (women, adolescents) implantation of the CardioWest system might be impossible. In these cases we have implanted the paracorporeal Thoratec device in a modified technique as a total artificial heart.

Key Words: Cardiac retransplantation • Irreversible myocardial decompensation • Left ventricular thrombus formation • Total artificial heart

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Copyright © 2007 by The European Association for Cardio-thoracic Surgery.