Mechanical Support, Heart Transplant

  • Annette Vegas


  • There is a range of cardio-respiratory support from simple intra-aortic balloon catheters, ventricular assist devices (VADs), total artificial heart (TAH), and ventilation membranes, to advanced extracorporeal life support (ECLS) circuits.

  • The choice of device depends on the patient’s cardiac status and whether the patient has adequate ventilation (CO2 elimination) and oxygenation.

  • Mechanical circulatory support for patients with advanced heart failure has evolved considerably and is standard therapy at many medical centers.

  • Echocardiography can help assess the need, implementation, detect complications, and weaning of mechanical support.

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Annette Vegas
    • 1
  1. 1.Professor of Anesthesiology, Former Director of Perioperative TEE, Department of AnesthesiaToronto General Hospital, University of TorontoTorontoCanada

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