Long-term biventricular HeartWare ventricular assist device support—Case series of right atrial and right ventricular implantation outcomes

2016 ◽  
Vol 35 (4) ◽  
pp. 466-473 ◽  
Author(s):  
Sajad Shehab ◽  
Peter S. Macdonald ◽  
Anne M. Keogh ◽  
Eugene Kotlyar ◽  
Andrew Jabbour ◽  
...  
2017 ◽  
Vol 44 (2) ◽  
pp. 141-143 ◽  
Author(s):  
Andrew C.W. Baldwin ◽  
Elena Sandoval ◽  
William E. Cohn ◽  
Hari R. Mallidi ◽  
Jeffrey A. Morgan ◽  
...  

Although biventricular heart failure has been successfully managed with dual continuous-flow ventricular assist devices, the long-term use of 2 mechanically dissimilar pumps has traditionally been discouraged. We present the case of a 52-year-old man whose treatment with a HeartMate II left ventricular assist device was complicated by right ventricular failure, necessitating the implantation of a long-term right ventricular assist device. A HeartWare left ventricular assist device was placed along the right ventricular base to avoid interference with the HeartMate II housing. The patient was discharged from the hospital after routine postoperative care and dual-device training. This case shows that, despite logistical complexities, nonidentical continuous-flow device pairings can successfully provide long-term biventricular support.


2014 ◽  
Vol 29 (6) ◽  
pp. 839-842 ◽  
Author(s):  
Silvana F. Marasco ◽  
Rebecca K. Stornebrink ◽  
Deirdre A. Murphy ◽  
Peter J. Bergin ◽  
Casey Lo ◽  
...  

ASAIO Journal ◽  
2018 ◽  
Vol 64 (4) ◽  
pp. e72-e74 ◽  
Author(s):  
Joshua L. Hermsen ◽  
Karen K. Stout ◽  
April Stempien-Otero ◽  
Edward D. Verrier ◽  
Nahush A. Mokadam

2018 ◽  
Vol 21 (5) ◽  
pp. E412-E414 ◽  
Author(s):  
Michael Salna ◽  
Yasuhiro Shudo ◽  
Jeffrey J Teuteberg ◽  
Dipanjan Banerjee ◽  
Richard V. Ha ◽  
...  

Introduction: The planned use of a temporary right ventricular assist device (RVAD) at the time of left ventricular assist device (LVAD) implantation may prevent the need for a permanent biventricular assist device (BiVAD). Herein we describe our RVAD weaning protocol that was effectively employed in 4 patients to prevent the need for permanent BiVAD. Methods: Four patients in refractory cardiogenic shock underwent planned RVAD insertion during LVAD implantation due to severely depressed right ventricular function with dilation preoperatively. A standardized RVAD weaning protocol was employed in these 4 patients in preparation for decannulation. Results: Temporary RVADs were successfully placed in all 4 patients at the time of LVAD implantation. All patients survived to RVAD decannulation and discharge and were alive at the time of most recent follow-up (range, 528-742 days post–RVAD decannulation). Conclusion: Planned implantation of a temporary RVAD in high risk patients may avoid the need for biventricular mechanical support in the future.


2019 ◽  
Vol 58 (1) ◽  
pp. 193-195
Author(s):  
Maria Monteagudo-Vela ◽  
Vasileios Panoulas ◽  
Fernando Riesgo-Gil ◽  
Andre Simon

Abstract The use of long-term mechanical assist devices for isolated right ventricular failure is rare. Herein, we describe our protocol for successful recovery of the right ventricle and subsequent explantation of a right ventricular assist device using a sternum-sparing technique and insertion of a titanium plug to occlude the coring defect of the inflow cannula.


ASAIO Journal ◽  
2013 ◽  
Vol 59 (4) ◽  
pp. 456-460 ◽  
Author(s):  
Abbas Khani-Hanjani ◽  
Gabriel Loor ◽  
Themistokles Chamogeorgakis ◽  
Alexis Shafii ◽  
Maria Mountis ◽  
...  

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