Initial experience with the NOVACOR left heart assist system in transition for heart transplantation at the Grosshadern Clinic
Kaulbach, H.G.; Vetter, H.O.; Reichenspurner, H.; Peiffer, M.; Schindler, G.; Röll, W.; Reichart, B.
Zentralblatt für Chirurgie 118(11): 687-690
1993
ISSN/ISBN: 0044-409X PMID: 8303962 Document Number: 408536
We recently used an electrically powered left ventricular assist device (NOVACOR Corp., Oakland, Calif.) to support the circulation of a 17-year-old man with profound circulatory impairment. He had been regularly listed for cardiac transplantation previously because of dilated cardiomyopathy, and decompensated acutely with severe biventricular failure before a suitable donor heart became available. Isolated left ventricular support with the NOVACOR system provided adequate haemodynamics and recovery of right ventricular, hepatic and renal function. After 2 days of support, orthotopic heart transplantation could be performed successfully. Five days after transplantation he developed a massive cerebral haemorrhage during a hypertensive crisis of which he recovered completely after neurosurgery without any residuals. He ist currently doing extremely well some 14 months after transplantation.