PMID- 12661429
OWN - NLM
STAT- MEDLINE
DCOM- 20030728
LR  - 20191106
IS  - 1023-9332 (Print)
IS  - 1023-9332 (Linking)
VI  - 9
IP  - 1
DP  - 2003
TI  - [Ambulatory long-term management of a left ventricular assist device. Current 
      modality in terminal heart failure].
PG  - 27-30
AB  - We report about the first use and successful outpatient therapy with an 
      implantable pulsatile left ventricular assist device (LVAD, Novacor) in a patient 
      with a combined dilative and ischemic cardiomyopathy in Switzerland. The patient, 
      a 51 year old man (112 kg, 191 cm, blood type A) developed end-stage heart 
      failure (New York Heart Association class (NYHA) IV) while he was awaiting 
      orthotopic heart transplantation. Due to his profession as an independent 
      graphic-designer the patient was afraid of a long-term temporary disablement with 
      consecutive bankruptcy. Therefore we decided and performed the implantation of a 
      Novacor-LVAD as a bridge to transplantation with the possibility to outpatient 
      therapy in a favourable course. The patient was supported by the device for more 
      than five months. His cardiac functional status returned to NYHA class I, and the 
      patient was discharged 5 weeks after implantation. He returned into his normal 
      life and started working at 100% again. Furthermore the LVAD enabled the patient 
      to participate in almost all activities. Five months (151 days) after 
      implantation a donor organ became available and the patient underwent orthotopic 
      heart transplantation. The use and successful outpatient therapy with an 
      implantable pulsatile left ventricular assist device in our patient has proved to 
      be save, reliable, life-saving, quality of life improving and could be an 
      important alternative for the economic burden in heart failure therapy.
FAU - Grapow, M T R
AU  - Grapow MT
AD  - Klinik fur Herz- und Thoraxchirurgie, Kantonsspital Basel, Basel. mgrapow@uhbs.ch
FAU - Todorov, A
AU  - Todorov A
FAU - Bernet, F
AU  - Bernet F
FAU - Zerkowski, H R
AU  - Zerkowski HR
LA  - ger
PT  - Case Reports
PT  - English Abstract
PT  - Journal Article
TT  - Ambulante Langzeitbetreuung mit einem Linksherzunterstutzungssystem. Eine 
      zeitgemasse Modalitat in der Behandlung der terminalen Herzinsuffizienz.
PL  - Switzerland
TA  - Swiss Surg
JT  - Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera
JID - 9514313
SB  - IM
MH  - Activities of Daily Living/classification
MH  - *Ambulatory Care
MH  - Cardiomyopathy, Dilated/rehabilitation
MH  - Equipment Design
MH  - Follow-Up Studies
MH  - Heart Failure/*rehabilitation
MH  - Heart Transplantation
MH  - *Heart-Assist Devices
MH  - Humans
MH  - *Long-Term Care
MH  - Male
MH  - Middle Aged
MH  - Myocardial Ischemia/*rehabilitation
MH  - Rehabilitation, Vocational
MH  - Reoperation
EDAT- 2003/03/29 05:00
MHDA- 2003/07/29 05:00
CRDT- 2003/03/29 05:00
PHST- 2003/03/29 05:00 [pubmed]
PHST- 2003/07/29 05:00 [medline]
PHST- 2003/03/29 05:00 [entrez]
AID - 10.1024/1023-9332.9.1.27 [doi]
PST - ppublish
SO  - Swiss Surg. 2003;9(1):27-30. doi: 10.1024/1023-9332.9.1.27.