Implantation of the Jarvik 2000 left ventricular assist device without the use of cardiopulmonary bypass.
In this report, we describe successful implantation of a Jarvik 2000 left ventricular assist device (Jarvik Heart, Inc, New York, NY) without the use of cardiopulmonary bypass in a patient who was a member of the Jehovah's Witness faith. To accomplish this, we had to change our implantation technique. The modified technique, which minimizes the risk of bleeding and end-organ dysfunction, can also be used to decrease cardiopulmonary bypass time.
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Cardiovascular Surgical Research, Texas Heart Institute and St. Luke's Episcopal Hospital, Houston, Texas 77225-0345, USA. knowlin@heart.thi.tmc.edu
D000328:Adult; D002302:Cardiac Output / Q000502:physiology; D002315:Cardiopulmonary Bypass; D005260:Female; D006333:Heart Failure / Q000503:physiopathology / Q000601:surgery*; D006353:Heart-Assist Devices; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D033221:Jehovah's Witnesses; D011474:Prosthesis Design; D011673:Pulsatile Flow / Q000502:physiology; D012068:Religion and Medicine; D013536:Suture Techniques