Mechanical support for biventricular failure using the HeartWare (HVAD) pump

Raghav Alampalli Murthy, Arjun Dhanik, Seth Hale, Lakshmi Uppalapati, Brian Bethea, Dan Marshall Meyer

Research output: Contribution to journalArticle

Abstract

The limited availability of organs for transplant has vastly popularized implantation of left ventricular assist devices. Right ventricular failure is a continued problem with an incidence as high as 44 %, significantly decreasing survival after left ventricular assist devices (LVAD) implantation. Survival is significantly better when LVAD patients at high risk for right ventricular failure (RVF) are converted directly to biventricular assist device (BiVAD) therapy instead of LVAD with subsequent right ventricular assist device (RVAD) implantation. The options available for biventricular assistance entail a total artificial heart (TAH) or additional right-sided placement of a continuous flow/pulsatile device which could be para-corporeal or implantable. The HeartWare HVAD (HeartWare International, Framingham, MA) device in a biventricular configuration is a very attractive option. This report details experiences and techniques for implantation of the HVAD in such a configuration.

Original languageEnglish (US)
Pages (from-to)197-200
Number of pages4
JournalIndian Journal of Thoracic and Cardiovascular Surgery
Volume32
Issue number3
DOIs
StatePublished - Sep 1 2016

Keywords

  • Biventricular failure
  • Left ventricular assist device
  • Right ventricular failure

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine
  • Surgery

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