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General Thoracic and Cardiovascular Surgery
Published in: General Thoracic and Cardiovascular Surgery 8/2023

Open Access 21-02-2023 | Heart Transplantation | Original Article

Outcomes of continuous flow left ventricular assist device after surgical left ventricular restoration

Authors: Takayuki Gyoten, Minoru Ono

Published in: General Thoracic and Cardiovascular Surgery | Issue 8/2023

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Abstract

Objectives

This study aimed to report the clinical outcomes of continuous flow left ventricular assist device implantation in end-stage chronic heart failure patients with a history of surgical left ventricular restoration.

Methods

We retrospectively identified 190 patients undergoing continuous flow left ventricular assist device implantation at our center from November 2007 to April 2020. In total, six patients underwent continuous flow left ventricular assist device implantation after various types of surgical left ventricular restoration procedures, including endoventricular circular patch plasty (n = 3), posterior restoration procedure (n = 2), and septal anterior ventricular exclusion (n = 1).

Results

Continuous flow left ventricular assist device (Jarvik 2000, n = 2; EVAHEART, n = 1; HeartMate II, n = 1; DuraHeart, n = 1; HVAD, n = 1) was successfully implanted in all patients. During a median follow-up of 48 months (interquartile range, 39–60 months; censoring heart transplantation), no death was documented, which means that overall survival after left ventricular assist device implantation was 100% at any time point. Finally, three patients received heart transplantation (waiting time: 39, 56, and 61 months, respectively) and the other three patients are still awaiting heart transplantation (waiting time: 12, 41, and 76 months, respectively).

Conclusions

In our series, continuous flow left ventricular assist device implantation after surgical left ventricular restoration was safe and feasible, even if an endoventricular patch was used, and effective for bridge to transplant strategy.
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Literature
1.
Athanasuleas CL, Buckberg G. Surgical ventricular restoration: where do we go from here? Heart Fail Rev. 2015;20:89–93.CrossRefPubMed
2.
Buckberg G, Athanasuleas C, Conte J. Surgical ventricular restoration for the treatment of heart failure. Nat Rev Cardiol. 2012;9:703–16.CrossRefPubMed
3.
4.
Suma H, Horii T, Isomura T, Buckberg G, RESTORE Group. A new concept of ventricular restoration for nonischemic dilated cardiomyopathy. Eur J Cardiothorac Surg. 2006;29:S207–12.
5.
Isomura T, Hoshino J, Fukada Y, Kitamura A, Katahira S, Kondo T, et al. Volume reduction rate by surgical ventricular restoration determines late outcome in ischaemic cardiomyopathy. Eur J Heart Fail. 2011;13:423–31.CrossRefPubMed
6.
Jones RH, Velazquez EJ, Michler RE, Sopko G, Oh JK, O’Connor CM, et al. Coronary bypass surgery with or without surgical ventricular reconstruction. N Engl J Med. 2009;360:1705–17.CrossRefPubMedPubMedCentral
7.
Isomura T, Hirota M, Notomi Y, Hoshino J, Kondo T, Takahashi Y, et al. Posterior restoration procedures and the long-term results in indicated patients with dilated cardiomyopathy. Interact Cardiovasc Thorac Surg. 2015;20:725–31.CrossRefPubMed
8.
Wakasa S, Matsui Y, Isomura T, Takanashi S, Yamaguchi A, Komiya T, et al. Impact of left ventricular remodelling on outcomes after left ventriculoplasty for ischaemic cardiomyopathy: Japanese surgical ventricular reconstruction group experience. Interact Cardiovasc Thorac Surg. 2013;16:785–91.CrossRefPubMedPubMedCentral
9.
Gummert JF, Haverich A, Schmitto JD, Potapov E, Schramm R, Falk V. Permanent implantable cardiac support systems. Dtsch Arztebl Int. 2019;116:843–8.PubMed
10.
Schramm R, Morshuis M, Schoenbrodt M, Boergermann J, Hakim-Meibodi K, Hata M, et al. Current perspectives on mechanical circulatory support. Eur J Cardiothorac Surg. 2019;55:i31–7.CrossRefPubMedPubMedCentral
11.
Börgermann J, Gummert JF, Schramm R. Heart failure in the spotlight. Interact Cardiovasc Thorac Surg. 2018;27:795–6.CrossRefPubMed
12.
Rojas SV, Avsar M, Uribarri A, Hanke JS, Haverich A, Schmitto JD. A new era of ventricular assist device surgery: less invasive procedures. Minerva Chir. 2015;70:63–8.PubMed
13.
Gyoten T, Rojas SV, Fox H, Schramm R, Hakim-Meibodi K, Ruiz-Cano M et al. Mechanical circulatory support as a bridge to candidacy in adults with transposition of the great arteries and a systemic right ventricle. Eur J Cardiothorac Surg 2020:ezaa373.
14.
Palmen M, Braun J, Beeres SL, Klautz RJ. Left ventricular assist device implantation in patients after left ventricular reconstruction. Interact Cardiovasc Thorac Surg. 2016;23:979–81.CrossRefPubMed
15.
Williams J, Conte J. Ventricular assist device placement following surgical ventricular restoration. Interact Cardiovasc Thorac Surg. 2006;5:90–1.CrossRefPubMed
16.
Zoghbi WA, Enriquez-Sarano M, Foster E, Grayburn PA, Kraft CD, Levine RA, et al. Recommendations for evaluation of the severity of native valvular regurgitation with two-dimensional and Doppler echocardiography. J Am Soc Echocardiogr. 2003;16:777–802.CrossRefPubMed
Metadata
Title
Outcomes of continuous flow left ventricular assist device after surgical left ventricular restoration
Authors
Takayuki Gyoten
Minoru Ono
Publication date
21-02-2023
Publisher
Springer Nature Singapore
Published in
General Thoracic and Cardiovascular Surgery / Issue 8/2023
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-023-01917-8

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