title: SynCardia: the total artificial heart.
abstract: The SynCardia total artificial heart (TAH) currently provides the most definitive option for patients with biventricular failure who are not candidates for isolated left ventricular (LV) assist device placement. The techniques for implantation are adaptable to almost all patients with advanced heart failure, including those with severe biventricular cardiomyopathy, complex congenital heart disease, failed LV assist devices, failed transplantations, and acquired structural heart defects that have failed or are not amenable to conventional surgical treatment. Over the years, the implantation technique has evolved in order to minimize the surgical invasiveness of the procedure, in anticipation of additional future surgery. Meticulous hemostasis with double layer sutures, use of Gore-Tex sheets around the TAH and the pericardial cavity, and use of tissue expanders to avoid contraction of pericardial cavity around the device are discussed in detail in the following report. Additionally, we will provide our experience with implantation of TAH in various challenging scenarios, such as patients with a small chest cavity, congenital heart defects, and simultaneous use of extracorporeal membrane oxygenation (ECMO).
authors.affiliation: 1 Department of Cardiothoracic Surgery, Mount Sinai Health System, New York, USA ; 2 Department of Cardiac Surgery, University of Padua, Padova, Italy.
authors.forename: Gianluca
authors.initials: G
authors.lastname: Torregrossa
authors.affiliation: 1 Department of Cardiothoracic Surgery, Mount Sinai Health System, New York, USA ; 2 Department of Cardiac Surgery, University of Padua, Padova, Italy.
authors.forename: Anelechi
authors.initials: A
authors.lastname: Anyanwu
authors.affiliation: 1 Department of Cardiothoracic Surgery, Mount Sinai Health System, New York, USA ; 2 Department of Cardiac Surgery, University of Padua, Padova, Italy.
authors.forename: Fabio
authors.initials: F
authors.lastname: Zucchetta
authors.affiliation: 1 Department of Cardiothoracic Surgery, Mount Sinai Health System, New York, USA ; 2 Department of Cardiac Surgery, University of Padua, Padova, Italy.
authors.forename: Gino
authors.initials: G
authors.lastname: Gerosa
keywords: SynCardia; Total artificial heart (TAH); cardiowest; implantation technque