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Ann Thorac Surg 2008;86:1677-1679. doi:10.1016/j.athoracsur.2008.04.101
© 2008 The Society of Thoracic Surgeons
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Masami Takagaki
Richard Lee
Patrick M. McCarthy
Edwin C. McGee, Jr
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Right arrow Mechanical Circulatory Assistance

Case Reports

Successful Conversion of TandemHeart Left Ventricular Assist Device to Right Ventricular Assist Device After Implantation of a HeartMate XVE

Masami Takagaki, MD, PhD, Chris Wurzer, CCP, Richard Wade, CCP, Richard Lee, MD, Sukit Chris Malaisrie, MD, Patrick M. McCarthy, MD, Edwin C. McGee, Jr, MD*

Division of Cardiothoracic Surgery, Bluhm Cardiovascular Institute, Northwestern University's Feinberg School of Medicine, Chicago, Illinois

Accepted for publication April 25, 2008.

* Address correspondence to Dr McGee, Heart Transplantation and Mechanical Assistance, Bluhm Cardiovascular Institute, Northwestern University Feinberg School of Medicine, 201 East Huron St, Suite 11-140, Chicago, IL 60611 (Email: emcgee{at}nmh.org).

A 60-year-old man with end-stage ischemic cardiomyopathy (ejection fraction, 10%) was admitted in cardiogenic shock, which was unresponsive to maximum inotropes and an intraaortic balloon pump. The TandemHeart (TH) left ventricular assist device (Cardiac Assist Inc, Pittsburgh, PA) was placed in the standard percutaneous transseptal configuration with improved hemodynamics. The HeartMate XVE (Thoratec Corp, Pleasanton, CA) implantation was performed as a bridge to transplant 5 days after TandemHeart insertion. The TandemHeart was converted to a temporary right ventricular assist device during the HeartMate XVE (Thoratec Corp) implantation due to right ventricular failure. The right ventricular assist device was weaned 3 days later. This strategy was useful, technically easy, and cost effective.






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Copyright © 2008 by The Society of Thoracic Surgeons.