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European Journal of Cardio-Thoracic Surgery, Vol 9, 95-98, Copyright © 1995 by European Association for Cardio-thoracic Surgery

ARTICLES

Bridge to transplantation with the wearable Novacor left ventricular assist system: operative technique

D Loisance, GJ Cooper, PH Deleuze, JB Castanie, JP Mazzucotelli, Y Abe, G Bajan and P Le Besnerais
Department of Cardiac Surgery, CHU Henri Mondor, Creteil, France.

Although the outcome of patients transplanted after univentricular cardiac support is similar to that of conventional patients, death on the device remains a substantial problem. The wearable Novacor left ventricular assist system (LVAS) may offer advantages over console- based systems by improving rehabilitation before transplantation. For these advantages to be realised, however, a smooth perioperative course is necessary. We describe our operative technique, based on minimising blood loss and preserving right ventricular function, and the results in the first three patients to have the wearable Novacor LVAS implanted in this institution.

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