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Nonidentical Continuous-Flow Devices For Biventricular Support.

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  • Author(s): Baldwin ACW; Sandoval E; Cohn WE; Mallidi HR; Morgan JA; Frazier OH
  • Source:
    Texas Heart Institute journal [Tex Heart Inst J] 2017 Apr 01; Vol. 44 (2), pp. 141-143. Date of Electronic Publication: 2017 Apr 01 (Print Publication: 2017).
  • Publication Type:
    Case Reports; Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: published in the Cardiovascular Surgical Research Laboratories, Texas Heart Institute Country of Publication: United States NLM ID: 8214622 Publication Model: eCollection Cited Medium: Internet ISSN: 1526-6702 (Electronic) Linking ISSN: 07302347 NLM ISO Abbreviation: Tex Heart Inst J Subsets: MEDLINE
    • Publication Information:
      Original Publication: Houston, TX : published in the Cardiovascular Surgical Research Laboratories, Texas Heart Institute, c1982-
    • Subject Terms:
      Heart-Assist Devices* ; Ventricular Function, Left* ; Ventricular Function, Right*; Heart Failure/*therapy; Computed Tomography Angiography ; Coronary Angiography/methods ; Heart Failure/diagnosis ; Heart Failure/physiopathology ; Humans ; Male ; Middle Aged ; Prosthesis Design ; Recovery of Function ; Time Factors ; Treatment Outcome
    • Abstract:
      Although biventricular heart failure has been successfully managed with dual continuous-flow ventricular assist devices, the long-term use of 2 mechanically dissimilar pumps has traditionally been discouraged. We present the case of a 52-year-old man whose treatment with a HeartMate II left ventricular assist device was complicated by right ventricular failure, necessitating the implantation of a long-term right ventricular assist device. A HeartWare left ventricular assist device was placed along the right ventricular base to avoid interference with the HeartMate II housing. The patient was discharged from the hospital after routine postoperative care and dual-device training. This case shows that, despite logistical complexities, nonidentical continuous-flow device pairings can successfully provide long-term biventricular support.
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    • Contributed Indexing:
      Keywords: Assisted circulation/instrumentation; heart failure/therapy; heart-assist devices; recovery of function; treatment outcome; ventricular dysfunction, left therapy; ventricular dysfunction, right therapy
    • Publication Date:
      Date Created: 20170503 Date Completed: 20180312 Latest Revision: 20181113
    • Publication Date:
      20250114
    • Accession Number:
      PMC5408630
    • Accession Number:
      10.14503/THIJ-16-5878
    • Accession Number:
      28461802