Chapter

Mechanical Ventricular Assist Devices

John A. Schirger, Soon J. Park and Sudhir S. Kushwaha

in Mayo Clinic Cardiology

Fourth edition

Published on behalf of © Mayo Foundation for Medical Education and Research

Published in print November 2012 | ISBN: 9780199915712
Published online May 2013 | e-ISBN: 9780199322824 | DOI: http://dx.doi.org/10.1093/med/9780199915712.003.1830

Series: Mayo Clinic Scientific Press

Mechanical Ventricular Assist Devices

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Congestive heart failure remains a significant burden in terms of both morbidity and mortality in the United States and in the developed world. While there have been remarkable advances in pharmacologic therapy, decreasing hospitalization rates, promoting beneficial myocardial remodeling, and prolonging life, there remains a significant portion of the heart failure population that progresses to end-stage heart failure. Left ventricular assist devices offer opportunities for bridge-to-transplantation in patients with advanced heart failure and dilated, enlarged left ventricles especially with ischemic substrate or arrhythmias and a long wait time. A number of patients who are initially not bridge-to-transplantation candidates can be served with left ventricular assist device as a bridge to candidacy in, for example, reversal of pulmonary hypertension with left ventricular assist device treatment.

Chapter.  1745 words.  Illustrated.

Subjects: Cardiovascular Medicine

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