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Eur J Cardiothorac Surg 2005;28:337-339
© 2005 Elsevier Science NL

How-to-do-it

Implantation of the Jarvik 2000 left-ventricular-assist-device: role of the maxillofacial surgeon

Bettina Hohlweg-Majert * , Ralf Gutwald, Michael P. Siegenthaler, Rainer Schmelzeisen

Department of Oral and Maxillofacial Surgery, University Hospital Freiburg, Freiburg, Germany

Received 22 November 2004; received in revised form 25 April 2005; accepted 25 April 2005.

* Corresponding author. Address: Department of Oral and Maxillofacial Surgery, Albert-Ludwigs-University, Hugstetterstrasse 55, D-79106 Freiburg, Black Forest, Germany. Tel.: +49 761 270 4701; fax: +49 761 270 4877. (Email: hohlweg{at}zmk2.ukl.uni-freiburg.de).

The Jarvik 2000 system of axial-flow LVAD—is implanted for permanent mechanical circularly support in patients with end-stage heart failure waiting to undergo heart transplantation. The battery is connected with a power plug to the percutaneous skull-mounted footplate, which is monocortically fixated to the retro auricular bone. Patient selection should be highly specific, including careful preoperative evaluation. No device failures have been published so far, but complications can occur due to heparinisation. We describe the procedure from the perspective of the maxillofacial surgeon and give suggestions to prevent surgical complications.

Key Words: Jarvik 2000 • Surgery • Maxillo-facial surgeon • Complications






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Copyright © 2005 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.