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Ann Thorac Surg 1998;66:555-557
© 1998 The Society of Thoracic Surgeons

Case Reports

Recovery from end-stage ischemic cardiomyopathy during long-term LVAD support

Lars Pietsch, MDa, Horst Laube, MDa, Gerd Baumann, MD, PhDb, Wolfgang Konertz, MD, PhDa

a Department of Cardiac Surgery, Charité, Humboldt University, Berlin, Germany
b Department of Cardiology, Charité, Humboldt University, Berlin, Germany

Accepted for publication February 25, 1998.

Address reprint requests to Dr Pietsch, Universitätsklinikum Charite, Klinik für Herzchirurgie, Schumannstr 20-21, 10717 Berlin, Germany
e-mail: (cardiac&rz.charite.hu-berlin.de)

A patient with ischemic cardiomyopathy and extremely reduced left ventricular function (left ventricular ejection fraction = 0.10) presented to our institution for cardiac transplantation. Because of his worsening condition he was placed on the Novacor left ventricular assist device. During 3 months of support his left ventricular function recovered and he successfully underwent percutaneous transluminal coronary angioplasty and minimally invasive direct coronary artery bypass grafting procedures; subsequently he could be weaned from the left ventricular assist device and discharged. The patient is no longer considered for cardiac transplantation.




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