title: [Initial experience with the NOVACOR left heart assist system in transition for heart transplantation at the Grosshadern Clinic].
abstract: We recently used an electrically powered left ventricular assist device (NOVACOR Corp., Oakland, Calif.) to support the circulation of a 17-year-old man with profound circulatory impairment. He had been regularly listed for cardiac transplantation previously because of dilated cardiomyopathy, and decompensated acutely with severe biventricular failure before a suitable donor heart became available. Isolated left ventricular support with the NOVACOR system provided adequate haemodynamics and recovery of right ventricular, hepatic and renal function. After 2 days of support, orthotopic heart transplantation could be performed successfully. Five days after transplantation he developed a massive cerebral haemorrhage during a hypertensive crisis of which he recovered completely after neurosurgery without any residuals. He ist currently doing extremely well some 14 months after transplantation.
authors.affiliation: Herzchirurgische Klinik, Ludwig-Maximilians-Universität, Klinikum Grosshadern, München.
authors.forename: H G
authors.initials: HG
authors.lastname: Kaulbach
authors.forename: H O
authors.initials: HO
authors.lastname: Vetter
authors.forename: H
authors.initials: H
authors.lastname: Reichenspurner
authors.forename: M
authors.initials: M
authors.lastname: Peiffer
authors.forename: G
authors.initials: G
authors.lastname: Schindler
authors.forename: W
authors.initials: W
authors.lastname: Röll
authors.forename: B
authors.initials: B
authors.lastname: Reichart
mesh_terms: D000293:Adolescent; D002543:Cerebral Hemorrhage / Q000503:physiopathology; D002544:Cerebral Infarction / Q000503:physiopathology; D003384:Coxsackievirus Infections / Q000503:physiopathology / Q000601:surgery*; D029822:Enterovirus B, Human; D006333:Heart Failure / Q000503:physiopathology / Q000601:surgery*; D016027:Heart Transplantation / Q000502:physiology*; D006353:Heart-Assist Devices; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D008297:Male; D009205:Myocarditis / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications / Q000503:physiopathology; D016277:Ventricular Function, Left / Q000502:physiology
vernacular_title: Erste Anwendung des Linksherzunterstützungssystems NOVACOR als Uberbrückung zur Herztransplantation am Klinikum Grosshadern.