Yoshioka Daisuke, Toda Koichi, Yoshikawa Yasushi, Sawa Yoshiki
Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Interact Cardiovasc Thorac Surg. 2014 Dec;19(6):1083-4. doi: 10.1093/icvts/ivu312. Epub 2014 Sep 16.
We report the successful longest biventricular support using dual Jarvik 2000 biventricular assist device (BVAD; Jarvik Heart, Inc., New York, NY, USA) as a bridge to transplant. A 27-year old woman with arrhythmogenic right ventricular cardiomyopathy underwent implantation of two Jarvik 2000s as a left ventricular assist device and right ventricular assist device. Although several BVAD-related complications including haemolysis, hepatic dysfunction, heart failure and pulmonary valve insufficiency developed at a very late stage, she was successfully bridged to heart transplantation after 1245 days of biventricular support, which is the longest in the literature. Despite advances in continuous-flow ventricular assist devices, their long-term use for biventricular support remains limited. We report a successful case of 1245 days of biventricular support with dual Jarvik 2000 axial flow pumps in a patient with a small body surface area.
我们报告了使用双Jarvik 2000双心室辅助装置（BVAD；美国纽约Jarvik Heart公司）作为移植桥梁成功进行最长时间双心室支持的案例。一名27岁患有致心律失常性右室心肌病的女性接受了两枚Jarvik 2000作为左心室辅助装置和右心室辅助装置的植入。尽管在很晚阶段出现了包括溶血、肝功能障碍、心力衰竭和肺动脉瓣关闭不全等多种与BVAD相关的并发症，但在双心室支持1245天后，她成功接受了心脏移植，这是文献中最长的时间。尽管连续流心室辅助装置取得了进展，但其用于双心室支持的长期应用仍然有限。我们报告了一例使用双Jarvik 2000轴流泵对一名小体表面积患者成功进行1245天双心室支持的案例。
