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The Orthotopic Univentricular Artificial Heart

  • D. Liotta
  • J. A. Navia
  • P. del Río
  • J. B. Riebman
  • O. H. Frazier
  • O. Lima Quintana
  • C. Cabrol
  • I. Gandjbakhch
  • D. A. Cooley

Abstract

Biventricular cardiac replacement with a total artificial heart (TAH) has now moved from the research laboratory into the clinical arena. Years of effort from several experimental centers have provided the foundation for the development of clinically applicable TAH systems. Experience with animal TAH implantation as well as the more recent human implant experience has delineated some problems and limitations of current devices for mechanical biventricular replacement [1–4]. Patients with small intrathoracic and intrapericardial volumes may demonstrate a poor fit of the TAH, with impingement on surrounding structures or inability to close the chest postoperatively. The problem of maintaining left and right ventricular balance plagues the TAHs designed with coupled ventricular pumping mechanisms. The level of energy consumption for a biventricular TAH also imposes some limitations on the design of a totally implantable TAH system.

Keywords

Atrial Septal Defect Pulmonary Vascular Resistance Atrial Pressure Blood Pump Single Ventricle 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • D. Liotta
  • J. A. Navia
  • P. del Río
  • J. B. Riebman
  • O. H. Frazier
  • O. Lima Quintana
  • C. Cabrol
  • I. Gandjbakhch
  • D. A. Cooley

There are no affiliations available

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