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Francisco A. Arabía
Pei H. Tsau
Raj K. Bose
Daniel S. Woolley
Birger E. Rhenman
Gulshan K. Sethi
Jack G. Copeland
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Ann Thorac Surg 2005;80:1490-1492
© 2005 The Society of Thoracic Surgeons

Case report

CardioWest Total Artificial Heart in a Moribund Adolescent With Left Ventricular Thrombi

M. Cristina Smith, MD a , Francisco A. Arabía, MD a , * , Pei H. Tsau, MD a , Richard G. Smith, MSEE b , Raj K. Bose, MD a , Daniel S. Woolley, MD a , Birger E. Rhenman, MD a , Gulshan K. Sethi, MD a , Jack G. Copeland, MD a

a University of Arizona Sarver Heart Center, Tucson, Arizona, USA
b University Medical Center Artificial Heart Program, Tucson, Arizona, USA

Accepted for publication April 20, 2004.

* Address reprint requests to Dr Arabía, University of Arizona Sarver Heart Center, PO Box 245071, Tucson, AZ85724-5071 (Email: arabia{at}u.arizona.edu).

Bridge to transplant is a well-known strategy to enable patients with congestive heart failure to live until transplant. A 15-year-old boy with Beckers' muscular dystrophy and cardiomyopathy was accepted for heart transplantation. He suffered a cardiac arrest and was placed on extracorporeal membrane oxygenator. A paracorporeal biventricular assist device and a total artificial heart were considered for bridge to transplant. A CardioWest total artificial heart was chosen because of the patient's size. Multiple left ventricular thrombi were identified at the time of the ventriculectomy. The patient did well with the total artificial heart was transplanted and discharged home. The unknown presence of significant left ventricular thrombi raises the question of outcome with a paracorporeal ventricular assist device.






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