title: Biventricular support using implantable continuous-flow ventricular assist devices.
abstract: A 34-year-old woman with fulminant myocarditis underwent emergent implant with the Toyobo (Nipro, Osaka, Japan) paracorporeal biventricular assist device (BiVAD). The patient had been stable for 6 months, until she started to develop heart failure symptoms due to severe pulmonary insufficiency. Pulmonary valve closure and BiVAD conversion to implantable rotary pumps was performed. A DuraHeart centrifugal pump (Terumo Heart Inc., Ann Arbor, MI) was used for left ventricular assist, and a Jarvik 2000 axial-flow pump (Jarvik Heart Inc., New York, NY) was used for right ventricular assist. Although strict management was required to balance the flow rates of the two different types of devices, her postoperative course was uneventful and she was discharged home.
authors.affiliation: Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, 2-2 Yamada-oka Suita, Osaka, Japan.
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Saito
authors.forename: Taichi
authors.initials: T
authors.lastname: Sakaguchi
authors.forename: Shigeru
authors.initials: S
authors.lastname: Miyagawa
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Yoshikawa
authors.forename: Takashi
authors.initials: T
authors.lastname: Yamauchi
authors.forename: Takayoshi
authors.initials: T
authors.lastname: Ueno
authors.forename: Toru
authors.initials: T
authors.lastname: Kuratani
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Sawa
mesh_terms: D000328:Adult; D005260:Female; D006353:Heart-Assist Devices; D006801:Humans; D009205:Myocarditis / Q000601:surgery*; D016896:Treatment Outcome