[Technic for implanting biventricular external assistance devices. Pending cardiac transplantation].
The extensive development of orthotopic heart transplantation results in a relative shortage of grafts. When cardiac grafts are unavailable, some patients at the end-stage of decompensated heart failure may benefit from a biventricular external circulatory assistance device as a "bridge" to transplantation. We describe a reproducible technique for the implantation of such external devices, based on the systematic use of extracorporeal circulation. This technique was tested in 8 patients. Its main advantage is that it prevents thromboembolic complications which are a constant threat when the devices are used for a prolonged period.
Ninet
J
J
Service de Chirurgie thoracique et cardiovasculaire, Hôpital cardiologique, Lyon.
Jarolin
G
G
Vigneron
M
M
Cochet
P
P
el Kirat
M
M
Neidecker
J
J
Champsaur
G
G
D000328:Adult; D002648:Child; D005112:Extracorporeal Circulation; D005500:Follow-Up Studies; D016027:Heart Transplantation; D006355:Heart-Lung Machine; D006801:Humans; D008875:Middle Aged
Technique d'implantation des procédés d'assistance biventriculaire externe. En attente de transplantation cardiaque.