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Successful weaning from the DuraHeart with a low left ventricular ejection fraction

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  • Artificial Heart (Clinical)
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Abstract

We report a case in which the DuraHeart (Terumo Heart, Ann Arbor, MI, USA) was successfully removed despite a low ejection fraction. A 33-year-old man who suffered from dilated cardiomyopathy underwent implantation of the DuraHeart. The assist flow decreased to less than 1.0 l/min 3 months after the implantation. Echocardiography demonstrated a low left ventricular ejection fraction (26 %) and left ventricular dilatation (64 mm). Right heart catheterization revealed a cardiac index of 2.9 l/min/m2 with a DuraHeart flow of 0.7 l/min. The patient underwent DuraHeart explantation without cardiopulmonary bypass. He was stable at 10 months post-explant.

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References

  1. Myers TJ, Frazier OH, Mesina HS, Radovancevic B, Gregoric ID. Hemodynamics and patient safety during pump-off studies of an axial-flow left ventricular assist device. J Heart Lung Transpl. 2006;25:379–83.

    Article  Google Scholar 

  2. Dandel M, Weng Y, Siniawski H, Stepanenko A, Krabatsch T, Potapov E, Lehmkuhl HB, Knosalla C, Hetzer R. Heart failure reversal by ventricular unloading in patients with chronic cardiomyopathy: criteria for weaning from ventricular assist devices. Eur Heart J. 2011;32:1148–60.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Mano A, Nakatani T, Oda N, Kato T, Niwaya K, Tagusari O, Nakajima H, Funatsu T, Hashimoto S, Komamura K, Hanatani A, Ueda IH, Kitakaze M, Kobayashi J, Yagihara T, Kitamura S. Which factors predict the recovery of natural heart function after insertion of a left ventricular assist system? J Heart Lung Transpl. 2008;27:869–74.

    Article  CAS  Google Scholar 

  4. Ando M, Nishimura T, Takewa Y, Kyo S, Ono M, Taenaka Y, Tatsumi E. Creating an ideal “off-test mode” for rotary left ventricular assist devices: establishing a safe and appropriate weaning protocol after myocardial recovery. J Thorac Cardiovasc Surg. 2012;143:1176–82.

    Article  PubMed  Google Scholar 

  5. Patel SR, Saeed O, Murthy S, Bhatia V, Shin JJ, Wang D, Negassa A, Pullman J, Goldstein DJ, Maybaum S. Combining neurohormonal blockade with continuous-flow left ventricular assist device support for myocardial recovery: a single-arm prospective study. J Heart Lung Transpl. 2013;32:305–12.

    Article  Google Scholar 

  6. Yoshioka D, Toda K, Sakaguchi T, Miyagawa S, Nishi H, Yoshikawa Y, Fukushima S, Saito S, Saito T, Shibasaki I, Sakata Y, Ohtani T, Sawa Y. Initial report of bridge to recovery in a patient with DuraHeart LVAD. J Artif Organs. 2013.

  7. Schima H, Vollkron M, Boehm H, Rothy W, Haisjackl M, Wieselthaler G, Wolner E. Weaning of rotary blood pump recipients after myocardial recovery: a computer study of changes in cardiac energetics. J Thorac Cardiovasc Surg. 2004;127:1743–50.

    Article  PubMed  Google Scholar 

  8. Sakaguchi T, Matsumiya G, Yoshioka D, Miyagawa S, Nishi H, Yoshikawa Y, Fukushima S, Saito S, Ueno T, Sawa Y. DuraHeart magnetically levitated left ventricular assist device. Circ J. 2013;77:1736–41.

    Google Scholar 

  9. Cheung A, Bashir J, Kaan A, Kealy J, Moss R, Shayan H. Minimally invasive, off-pump explant of a continuous-flow left ventricular assist device. J Heart Lung Transpl. 2010;29:808–10.

    Article  Google Scholar 

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Conflict of interest

Minoru Ono received a research funding from Terumo Corp. (Tokyo, Japan). Mitsutoshi Kimura, Takashi Nishimura, Koichiro Kinugawa and Shunei Kyo belong to Department of Therapeutic Strategy for Heart Failure, which is an endowed department sponsored by 13 companies including Terumo Corp. (Tokyo, Japan). The others have no conflict of interest.

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Correspondence to Mitsutoshi Kimura or Minoru Ono.

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Kimura, M., Kinoshita, O., Nishimura, T. et al. Successful weaning from the DuraHeart with a low left ventricular ejection fraction. J Artif Organs 16, 504–507 (2013). https://doi.org/10.1007/s10047-013-0723-3

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  • DOI: https://doi.org/10.1007/s10047-013-0723-3

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