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Ann Thorac Surg 2009;88:e48-e49. doi:10.1016/j.athoracsur.2009.07.029
© 2009 The Society of Thoracic Surgeons
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Case Reports

Left Ventricular Assist Devices: Psychosocial Challenges in the Elderly

Paula Marcus, MD*

Department of Psychiatry, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York

Accepted for publication July 14, 2009.

* Address correspondence to Dr Marcus, Department of Psychiatry, Montefiore Medical Center, Albert Einstein College of Medicine, Rosenthal Room 21, 111 E 210th St, Bronx, NY 10467 (Email: pamarcus{at}montefiore.org).

As the baby boom generation ages, the number of people with heart failure is expected to rise exponentially. A rapid increase in the demand for heart transplants will result in an increased use of left ventricular assist devices. This case illustrates the challenges facing transplant teams in evaluating elderly heart failure patients as candidates for assist devices. The critical elements of a psychosocial assessment are described.






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