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KMID : 1033820000010010043
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Journal of Artificial Heart Research
2000 Volume.1 No. 1 p.43 ~ p.50
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Problems and solutions of BVAD implantation into the epigastrium
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Kim Seung-Chul
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Abstract
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Due to limited donors, many patients with end-stage heart failure are dying before the cardiac transplantation and to those patients reliable totally implantable artificial hearts or artificial ventricular assist devices are highly required. In case of the total artificial heart it is implanted to the same place which natural heart is removed from but the Biventricular assist device must be implanted heterotopically. Biventricular assist devices can be implanted in intra-thoracic or intra-abdominal space and each space has advantages and disadvantages. It was considered that biventricular assist devices are positioned in the intraperitoneal, preperitoneal or subcutaneous spaces at the epigastrium. The subcutaneous space at the epigastrium offers considerable advantages in implanting the biventricular assist device, but it is anticipated some technical difficulties due to patient’s skin laxity. Nevertheless it is expected the problems can be overcome sufficiently and it would be ideal that the biventricular assist device should be implanted subcutaneously at the epigastrium.
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KEYWORD
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end-stage heart failure, biventricular assist device, implantable, epigastrium
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