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Right arrow Mechanical Circulatory Assistance

Ann Thorac Surg 2002;74:609-611
© 2002 The Society of Thoracic Surgeons

How to do it

Implantation of biventricular assist devices for chronic heart transplant rejection

Akira Sezai, MDa, Latif Arusoglu, MDa, Kazutomo Minami, MD, PhD*a, Aly El-Banayosy, MDa, Reiner Körfer, MD, PhDa

a Department of Thoracic and Cardiovascular Surgery, Heart Center North Rhine-Westphalia, Ruhr University of Bochum, Bad Oeynhausen, Germany

Accepted for publication March 20, 2002.

* Address reprint requests to Dr Minami, Georgstr, 11, 32545 Bad Oeynhausen, Germany
e-mail: akisez{at}eagle.ocn.ne.jp

Mechanical circulatory support has been used to treat graft failure caused by rejection after heart transplantation, but the prognosis remains bleak. Organ failure induced by the addition of or an increase in immunosuppressive medication is known to be a cause of the poor outcomes. Thus we tried a new therapeutic technique that allows complete withdrawal of immunosuppressive medication, as the donor heart is removed and circulatory support is maintained with a biventricular assist device.






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