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Ann Thorac Surg 2003;75:1028-1030
© 2003 The Society of Thoracic Surgeons

How to do it

Implantation of the Jarvik 2000 left ventricular assist device without the use of cardiopulmonary bypass

O.H. Frazier, MD*a

a Cardiovascular Surgical Research, Texas Heart Institute and St. Luke’s Episcopal Hospital, Houston, Texas, USA

Accepted for publication August 14, 2002.

* Address reprint requests to Dr Frazier, Texas Heart Institute, PO Box 20345, Houston, TX 77225-0345, USA
e-mail: knowlin{at}heart.thi.tmc.edu

In this report, we describe successful implantation of a Jarvik 2000 left ventricular assist device (Jarvik Heart, Inc, New York, NY) without the use of cardiopulmonary bypass in a patient who was a member of the Jehovah’s Witness faith. To accomplish this, we had to change our implantation technique. The modified technique, which minimizes the risk of bleeding and end-organ dysfunction, can also be used to decrease cardiopulmonary bypass time.




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