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Ann Thorac Surg 1999;68:698-704
© 1999 The Society of Thoracic Surgeons

Description Of Devices And Surgical Techniques

Implantation technique for the CardioWest total artificial heart

Francisco A. Arabia, MDa, Jack G. Copeland, MDa, Alan Pavie, MDb, Richard G. Smith, MSEEa

a University of Arizona Health Sciences Center, Tucson, Arizona, USA
b Groupe Hospitalier Pitie-Salpêtriere, Paris, France

Address reprint requests to Dr Arabia, University of Arizona Health Sciences Center, PO Box 245071, Tucson, AZ 85724-5071
e-mail: arabia{at}u.arizona.edu

Presented at the Fourth International Conference on Circulatory Support Devices for Severe Cardiac Failure, Houston, TX, Oct 3–5, 1997.

Abstract

The CardioWest total artificial heart is a pneumatically driven device that totally replaces the failing ventricles. It is currently undergoing clinical investigation as a bridge to heart transplantation in several centers throughout the world. A bilateral ventriculectomy is performed and the device is implanted. Blood flows are usually maintained at 6–8 L/min. Approximately 130 patients have undergone bridge to transplant with this device. Patient selection and excellent surgical technique are required for a successful outcome. A detailed description of the implantation technique is presented to facilitate the use of this technology.




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