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Ettore Vitali
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Right arrow Congestive Heart Failure
Right arrow Mechanical Circulatory Assistance
Right arrow Transplantation - heart
Interactive Cardiovascular and Thoracic Surgery 3:542-543(2004)
© 2004 European Association of Cardio-Thoracic Surgery

Case report - Assisted circulation

Successful replacement of malfunctioning TCI HeartMate LVAD with DeBakey LVAD as a bridge to heart transplantation

Claudio F. Russoa, Pasquale A. Frattoa,*, Filippo Milazzob and Ettore Vitalia

a Department of Cardiac Surgery, Niguarda Hospital, P.zza Ospedale Maggiore 3, 20100 Milan, Italy
b Department of Anaesthesia, Niguarda Hospital, P.zza Ospedale Maggiore 3, 20100 Milan, Italy

* Corresponding author. Tel.: +39-2-6444-2565; fax: +39-2-6444-2566
pasqualefratto{at}tiscali.it

Congestive heart failure is the leading cause of hospitalization and death in the developed world and affects about 0.4–2% of the adult population [Ann Thorac Surg 1999;68:637–40]. Heart transplantation remains the most effective therapy for end-stage heart disease, but the shortage of donors has led to increasing interest in other surgical options, especially ventricular assist devices (VAD). Several VADs are available to bridge patients to transplantation [N Engl J Med 2001;345:1435–43], including pulsatile devices like the HeartMate (HeartMate, Thoratec, Pleasanton, CA) and Novacor (World Heart, Netherlands), and the DeBakey VAD (MicroMed Technology, Inc., Houston, TX), which is an electromagnetically driven implantable titanium axial flow blood pump designed for left ventricular support. Despite technical improvements, VADs still are associated with serious complications. We reporte a successfull case where we replaced a TCI HeartMate with a DeBakey VAD because of a serious pocket infection, deterioration and failure of the inflow valve.

Key Words: Mechanical circulatory assistance; Infection; Heart transplantation

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