Successful Use of a Custom-Made Paracorporeal Total Artificial Heart as a Bridge to Retransplantation in Adult and Adolescent Patients

Extracorporeal total artificial heart as bailout surgery

“…Complications include multiorgan failure, respiratory insufficiency, renal failure, and bleeding resulting in tamponade . One team reported a technical problem where a mediastinal silicone implant used as a spacer pushed on the outflow graft and needed re‐positioning …”

“…Various techniques to rebuild the atria and avoid collapse include direct suture to prosthetic grafts, reinforcing of the atrial wall with glue, or bovine pericardium patches . Frazier and Cohn used custom‐made cones of Vascutek Gelseal patches (Terumo Cardiovescular Systems Corporation, Ann Arbor, MI) reinforced with hernia mesh repair and impregnated with silicone adhesive, and sutured them to the remains of the atria.…”

“…One team reduced the outflow graft diameter on the right side as well . Some of the teams using intracorporeal devices also implanted a silicone breast implant in the mediastinal cavity as a spacer, to prevent loss of domain and ensure space will remain once a heart transplantation is available …”

Bridging with Mechanical Circulatory Support for Cardiac Retransplantation: Analysis of the United Organ Sharing Network Database

“…Several small case reports have shown successful bridging with VADs in those with perioperative graft failure [13][14][15]. Khan et al looked at patients bridged to retransplant with mechanical support in the UNOS database from 1987-2011, but their analysis spanned a long period of time with older devices and included patients on ECMO [2].…”

Heart Retransplantation

“…Предлага-лись различные методы лечения НСТ, однако их эффективность в контролируемых многоцентровых исследованиях доказана не была. В частности, при острой недостаточности сердечного трансплантата предполагается применение методов механической поддержки кровообращения [3][4][5]. У больных ВТС была доказана эффективность медикаментозной терапии, чрескожной ангиопластики коронарных артерий и аортокоронарного шунтирования [9][10][11][12][13][14][15][16].…”