Summary
The experience with artificial hearts at the University of Arizona is described and case reports of the five patients who received them are presented. In one patient, it was seen that problems with the fit of the device resulted in fatal complications. Most world experience at present is with the Jarvik heart and the current model of choice is the 70-cm3, since it smaller than the 100-cm3 and there is reduced chance of trouble with the fit. Hemolysis is not a problem if excessive transfusion can be avoided. Bleeding is always a threat in complex cardiac surgery with grafting. Embolism and infection may be inevitable, but the evidence in one patient showed that there is no necessity to perform transplantation immediately. It is recommended that patients who have previously been selected for orthotopic transplantation and begin an accelerated decompensation are the best candidates for temporary orthotopic mechanical support.
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© 1988 Springer Japan
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Copeland, J.G., Smith, R.G., Icenogle, T.B., Ott, R.A. (1988). Early experience with the total artificial heart as a bridge to cardiac transplantation. In: Akutsu, T., et al. Artificial Heart 2. Springer, Tokyo. https://doi.org/10.1007/978-4-431-65964-8_23
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DOI: https://doi.org/10.1007/978-4-431-65964-8_23
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-70544-4
Online ISBN: 978-4-431-65964-8
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