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Case Reports
. 2020 Jan 1;30(1):81-84.
doi: 10.1093/icvts/ivz231.

Long-term continuous flow mechanical biventricular support: 9 years and counting

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Case Reports

Long-term continuous flow mechanical biventricular support: 9 years and counting

Einar Gude et al. Interact Cardiovasc Thorac Surg. .

Abstract

We report 2 continuous flow HeartWareTM left ventricular assist devices successfully used in a patient with advanced heart failure of giant cell myocarditis origin in a biventricular configuration. Despite technical challenges of adapting a left ventricular assist device engineered for systemic pressure to function as a right ventricular assist device, the addition of dynamic banding on the right ventricular assist device outflow graft allowed successful adaptation of afterload. This patient has now been on biventricular configuration support for 9 years, and remains stable to this day.

Keywords: Biventricular support; Heart failure; Ventricular assist device.

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