First clinical implantation of the BCM 3.5 ventricular assist device (VAD)

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Abstract
We report on the first human implantation of the BCM 3.5 ventricularassist device in a 46-year-old man suffering from terminal stagecardiomyopathy. The circulatory support was used as a bridge to hearttransplantation. The patient was in cardiogenic shock and was on assistedcirculation for 18 days after which he underwent cardiac transplantation.While receiving support from the ventricular assist device, the patient'scondition improved remarkably and 50 days after transplantation he wasdischarged from hospital. We give a detailed description of the surgicaltechnique, with special emphasis on the procedures for air extraction. Wedescribe the evolution of the hemodynamic status before and afterimplantation. Final inspection of the device and cannulae after removalshowed no thrombi and only small fibrin deposits in the membrane-walljunction.

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