Prolonged biventricular assist device support as a bridge to heart transplantation

Chitaru Kurihara, Minoru Ono*, Takashi Nishimura, Kan Nawata, Osamu Kinoshita, Motoyuki Hisagi, Noboru Motomura, Shunei Kyo

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

We report a case in which long-term biventricular assist device (BiVAD) support enabled successful heart transplantation. The patient was diagnosed with dilated cardiomyopathy at age 11. She underwent implantation of a Toyobo LVAD, tricuspid valvuloplasty and annuloplasty at age 15. Right heart bypass (RHB) was established using a centrifugal pump. Right ventricular function showed no improvement during a ten-day period, and RHB was switched to a Toyobo RVAD on postoperative day (POD) 11. Because of poor oxygenation, veno-venous extracorporeal membrane oxygenation (V-V ECMO) was instituted. She was weaned from V-V ECMO on POD 14. She was brought to the United States on POD 189 under BiVAD support, and underwent heart transplantation on POD 199. She was discharged 4 months later. Two years after heart transplantation, she remained in New York Heart Association class one without rejection.

Original languageEnglish (US)
Pages (from-to)367-370
Number of pages4
JournalJournal of Artificial Organs
Volume14
Issue number4
DOIs
StatePublished - Dec 1 2011

Keywords

  • Biventricular assist devices
  • Bridge to transplantation
  • Heart transplantation
  • Right heart failure

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Biomaterials
  • Biomedical Engineering
  • Cardiology and Cardiovascular Medicine

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