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European Journal of Heart Failure 2006 8(7):756-759; doi:10.1016/j.ejheart.2006.02.003
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© 2006 European Society of Cardiology

Patients supported for over 4 years with left ventricular assist devices

Evgenij V. Potapova,*, Michael J. Jurmanna, Thorsten Drewsa, Miralem Pasica, Matthias Loebeb, Yuguo Wenga and Roland Hetzera

a Deutsches Herzzentrum Berlin, Department of Cardiothoracic and Vascular Surgery, Augustenburger Platz 1, 13353 Berlin, Germany
b Michael E. DeBakey Department of Surgery, Division of Transplantation and Assist Devices, Baylor College of Medicine, Houston, Texas, USA

* Corresponding author. Tel.: +49 30 4593 2065; fax: +49 30 45932079. E-mail address: potapov{at}dhzb.de (E.V.Potapov).


  Abstract

Ventricular assist device implantation has become an established therapy in adults and children for bridging to heart transplantation or to aid myocardial recovery. Recently, implantation of left ventricular assist devices as definitive therapy has been recognized as a better option than pharmacological treatment in patients who are not candidates for heart transplantation. This study presents our institution's experience with five patients successfully supported by two different left ventricular assist devices for over 4 years. This unique experience shows that left ventricular assist device support can be extended beyond 4 years with good quality of life and low risk, making it a good alternative for non-transplant candidates.

Key Words: Left ventricular assist device • Heart transplantation • Non-transplant candidate • Heart failure • Destination therapy

Received June 11, 2005; Revised November 14, 2005; Accepted February 2, 2006


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