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Ann Thorac Surg 2003;76:1999
© 2003 The Society of Thoracic Surgeons

Invited commentary

John R. Pepper, FRCS

Department of Cardiothoracic Surgery, Royal Brompton Hospital, Sydney Street, London SW3 6NP, United Kingdom

e-mail: j.pepper@rbh.nthames.nhs.uk

The first 20% of the full text of this article appears below.

Chronic unloading of the left ventricle decreases cardiac dimensions, enhances ejection fraction, and lowers left atrial pressure and pulmonary vascular resistance. In the worldwide experience of bridge to transplantation, patients who require only isolated LV assistance rather than biventricular assistance have much better rates of transplantation and discharge. Those who require isolated right heart support or biventricular support with hybrid systems have transplant rates of 30%–40% and hospital discharge rates of 0%–60%, compared to 60%–69% for both in . . . [Full Text of this Article]






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