[Initial experience with the NOVACOR left heart assist system in transition for heart transplantation at the Grosshadern Clinic].
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.
Kaulbach
H G
HG
Herzchirurgische Klinik, Ludwig-Maximilians-Universität, Klinikum Grosshadern, München.
Vetter
H O
HO
Reichenspurner
H
H
Peiffer
M
M
Schindler
G
G
Röll
W
W
Reichart
B
B
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
Erste Anwendung des Linksherzunterstützungssystems NOVACOR als Uberbrückung zur Herztransplantation am Klinikum Grosshadern.