Long‐term support by left ventricular assist device for arrhythmogenic right ventricular cardiomyopathy

2019 ◽  
Vol 43 (9) ◽  
pp. 909-912 ◽  
Author(s):  
Sachito Minegishi ◽  
Osamu Kinoshita ◽  
Yasuhiro Hoshino ◽  
Hyoe Komae ◽  
Mitsutoshi Kimura ◽  
...  
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.


Author(s):  
J P Cassella ◽  
V Salih ◽  
T R Graham

Left ventricular assist systems are being developed for eventual long term or permanent implantation as an alternative to heart transplantation in patients unsuitable for or denied the transplant option. Evaluation of the effects of these devices upon normal physiology is required. A preliminary study was conducted to evaluate the morphology of aortic tissue from calves implanted with a pneumatic Left Ventricular Assist device-LVAD. Two 3 month old heifer calves (calf 1 and calf 2) were electively explanted after 128 days and 47 days respectively. Descending thoracic aortic tissue from both animals was removed immediately post mortem and placed into karnovsky’s fixative. The tissue was subsequently processed for transmission electron microscopy (TEM). Some aortic tissue was fixed in neutral buffered formalin and processed for routine light microscopy.


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