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Published in: Journal of Artificial Organs 2/2014

01-06-2014 | Case Report

Conversion from long-term AB-5000 to EVAHEART using a combined left thoracotomy and sternotomy approach

Authors: Masatoshi Akiyama, Naotaka Motoyoshi, Shunsuke Kawamoto, Satoshi Saito, Kenji Yamazaki, Yoshikatsu Saiki

Published in: Journal of Artificial Organs | Issue 2/2014

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Abstract

Because of the extreme donor shortage in Japan, waiting times for heart transplantation exceed 2 years. Since 1980s in Japan, device availability has also been an issue, with only a few paracorporeal ventricular assist devices (VADs) available as a bridge to transplantation or recovery. However, two implantable VADs became commercially available in 2011. Given these constraints in our healthcare system, we report a relatively rare case of bridge-to-bridge use of an implanted EVAHEART after having used a paracorporeal AB-5000 support for an extended period of time. We successfully employed a combined left thoracotomy and median sternotomy approach as a conversion technique.
Literature
1.
go back to reference Yamazaki K, Kihara S, Akimoto T, Tagusari O, Kawai A, Umezu M, Tomioka J, Kormos RL, Griffith BP, Kurosawa H. EVAHEART: an implantable centrifugal blood pump for long-term circulatory support. Jpn J Thorac Cardiovasc Surg. 2002;50:461–5.PubMedCrossRef Yamazaki K, Kihara S, Akimoto T, Tagusari O, Kawai A, Umezu M, Tomioka J, Kormos RL, Griffith BP, Kurosawa H. EVAHEART: an implantable centrifugal blood pump for long-term circulatory support. Jpn J Thorac Cardiovasc Surg. 2002;50:461–5.PubMedCrossRef
2.
go back to reference Takayama H, Truby L, Koekort M, Uriel N, Colombo P, Mancini DM, Jorde UP, Naka Y. Clinical outcome of mechanical circulatory support for refractory cardiogenic shock in the current era. J Heart Lung Transpl. 2013;32:106–11.CrossRef Takayama H, Truby L, Koekort M, Uriel N, Colombo P, Mancini DM, Jorde UP, Naka Y. Clinical outcome of mechanical circulatory support for refractory cardiogenic shock in the current era. J Heart Lung Transpl. 2013;32:106–11.CrossRef
3.
go back to reference Sajjad M, Butt T, Oezalp F, Siddique A, Wrightson N, Crawford D, Pillay T, Schueler S. An alternative approach to explantation and exchange of the HeartWare left ventricular assist device. Eur J Cardiothorac Surg. 2013;43:1247–50.PubMedCrossRef Sajjad M, Butt T, Oezalp F, Siddique A, Wrightson N, Crawford D, Pillay T, Schueler S. An alternative approach to explantation and exchange of the HeartWare left ventricular assist device. Eur J Cardiothorac Surg. 2013;43:1247–50.PubMedCrossRef
4.
go back to reference Moazami N, Milano CA, John R, Sun B, Adamson RM, Pagani FD, Smedira N, Slaughter MS, Farrar DJ, Frazier OH. Pump replacement for left ventricular assist device failure can be done safely and is associated with low mortality. Ann Thorac Surg. 2013;95:500–5.PubMedCrossRef Moazami N, Milano CA, John R, Sun B, Adamson RM, Pagani FD, Smedira N, Slaughter MS, Farrar DJ, Frazier OH. Pump replacement for left ventricular assist device failure can be done safely and is associated with low mortality. Ann Thorac Surg. 2013;95:500–5.PubMedCrossRef
Metadata
Title
Conversion from long-term AB-5000 to EVAHEART using a combined left thoracotomy and sternotomy approach
Authors
Masatoshi Akiyama
Naotaka Motoyoshi
Shunsuke Kawamoto
Satoshi Saito
Kenji Yamazaki
Yoshikatsu Saiki
Publication date
01-06-2014
Publisher
Springer Japan
Published in
Journal of Artificial Organs / Issue 2/2014
Print ISSN: 1434-7229
Electronic ISSN: 1619-0904
DOI
https://doi.org/10.1007/s10047-014-0756-2

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