The first Russian experience in successfully using an implantable СardioWest TAH-t artificial heart system (SynCardia)
https://doi.org/10.23873/2074-0506-2011-0-1-37-42
Abstract
The paper describes the first Russian experience in using an implantable CardioWest TAH-t artificial heart (AH) system (SynCardia, USA) to treat critical heart failure. The AH system was implanted in a 60-year-old female patient with dilated cardiomyopathy, a limited probability of survival, and unoperated defects. The main medical and technical characteristics of the AH system and the patient’s clinical status in the preoperative and immediate and late (up to 238 days) postoperative periods are presented. Indications for and contraindication to implantation of the system and its possible application modes are considered. Equipment and a procedure for AH implantation, approaches to postoperative management, and treatment policy for postoperative complications are described in detail. The application of the AH system permitted the patient to wait for a donor heart. The latter was successfully transplanted in the patient.
About the Authors
L. A. Bockeria
A.N. Bakulev Research Center of Cardiovascular Surgery, Russian Academy of Medical Sciences
Russian Federation
Russian Federation
K. V. Shatalov
A.N. Bakulev Research Center of Cardiovascular Surgery, Russian Academy of Medical Sciences
Russian Federation
Russian Federation
V. Y. Merzlyakov
A.N. Bakulev Research Center of Cardiovascular Surgery, Russian Academy of Medical Sciences
Russian Federation
Russian Federation
V. A. Mironenko
A.N. Bakulev Research Center of Cardiovascular Surgery, Russian Academy of Medical Sciences
Russian Federation
Russian Federation
G. V. Lobacheva
A.N. Bakulev Research Center of Cardiovascular Surgery, Russian Academy of Medical Sciences
Russian Federation
Russian Federation
Y. A. Nekhai
A.N. Bakulev Research Center of Cardiovascular Surgery, Russian Academy of Medical Sciences
Russian Federation
Russian Federation
M. M. Rybka
A.N. Bakulev Research Center of Cardiovascular Surgery, Russian Academy of Medical Sciences
Russian Federation
Russian Federation
O. L. Bockeria
A.N. Bakulev Research Center of Cardiovascular Surgery, Russian Academy of Medical Sciences
Russian Federation
Russian Federation
N. N. Koloskova
A.N. Bakulev Research Center of Cardiovascular Surgery, Russian Academy of Medical Sciences
Russian Federation
Russian Federation
M. V. Makhalin
A.N. Bakulev Research Center of Cardiovascular Surgery, Russian Academy of Medical Sciences
Russian Federation
Russian Federation
R. R. Akhtyamov
A.N. Bakulev Research Center of Cardiovascular Surgery, Russian Academy of Medical Sciences
Russian Federation
Russian Federation
S. L. Gordeyev
A.N. Bakulev Research Center of Cardiovascular Surgery, Russian Academy of Medical Sciences
Russian Federation
Russian Federation
Y. V. Gusarova
A.N. Bakulev Research Center of Cardiovascular Surgery, Russian Academy of Medical Sciences
Russian Federation
Russian Federation
A. N. Makhmudova
A.N. Bakulev Research Center of Cardiovascular Surgery, Russian Academy of Medical Sciences
Russian Federation
Russian Federation
A. V. Nekhrest
A.N. Bakulev Research Center of Cardiovascular Surgery, Russian Academy of Medical Sciences
Russian Federation
Russian Federation
References
1. Бокерия Л.А., Шаталов К.В., Свободов А.А. Системы вспомогательного и заместительного кровообращения. М., 2000;184 с.
2. Adams J.F., Lindenfeld J., Arnol J. et al. HFSA 2006 comprehensive heart failure practice guideline. J Card Fail 2006;12:1-122.
3. El-Banayosy A., Arusoglu L., Kizner L. et al. Novacor left ventricular assist system versus HeartMate vented electric left ventricular assist system as a long-term mechanical circulatory support device in bridging patients: a prospective study. Thorac Cardiovasc Surg 2000;119:581-7.
4. Copeland J.G., Smith R.G., Arabia F.A. et al. Cardiac Replacement with a total artificial heart as a bridge to transplantation. N Engl J Med 2004;351(9):859-67.
5. Navia J.L., McCarthy P.M., Navia J.L. et al. Do left ventricular assist device (LVAD) bridgeto-transplantation outcomes predict the results of permanent LVAD implantation? Ann Thorac Surg 2002;74:2051-63.
6. Korfer Reiner. Total artificial heartimplantation technique using the CardioWest or the Thoratecsystem. Multimedia Manual of Cardiothoracic Surgery. 2006. 002485 DOI: 10.1510/mmcts
Review
For citations:
Bockeria L.A., Shatalov K.V., Merzlyakov V.Y., Mironenko V.A., Lobacheva G.V., Nekhai Y.A., Rybka M.M., Bockeria O.L., Koloskova N.N., Makhalin M.V., Akhtyamov R.R., Gordeyev S.L., Gusarova Y.V., Makhmudova A.N., Nekhrest A.V. The first Russian experience in successfully using an implantable СardioWest TAH-t artificial heart system (SynCardia). Transplantologiya. The Russian Journal of Transplantation. 2011;(1):37-42. (In Russ.) https://doi.org/10.23873/2074-0506-2011-0-1-37-42
Views:
770
