The total artificial heart for biventricular heart failure and beyond.

Abstract:

PURPOSE OF REVIEW:Treatment options for late-stage biventricular heart failure are limited but include medical therapy with intravenous inotropes, biventricular assist devices (Bi-VADs) and the total artificial heart (TAH). In this manuscript, we review the indications, surgical techniques and outcomes for the TAH. RECENT FINDINGS:The TAH offers biventricular replacement, rather than 'assistance', as the device is placed orthotopically after excision of the entire ventricular myocardium and all four native valves. In contrast to patients with Bi-VADs, patients with the TAH have no postoperative inotrope requirements, arrhythmias or inflow/outflow cannulae-related complications. Additionally, patients participate in rehabilitation early after device placement and the development of a portable drive may facilitate hospital discharge in the USA. Furthermore, total heart replacement may be ideal for heart failure associated with unique anatomical and mechanical complications. SUMMARY:The TAH is an effective therapeutic option for the treatment of patients dying of heart failure who may not be suitable candidates for left ventricular assist devices.

journal_name

Curr Opin Cardiol

authors

Kasirajan V,Tang DG,Katlaps GJ,Shah KB

doi

10.1097/HCO.0b013e32835220c9

subject

Has Abstract

pub_date

2012-05-01 00:00:00

pages

301-7

issue

3

eissn

0268-4705

issn

1531-7080

journal_volume

27

pub_type

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