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Chronic Heart Assist System

  • D. Liotta
  • C. B. Alvarez
  • CONICET-PROCOAR Investigators

Abstract

Chronic heart failure (CHF) is the end of most heart diseases: ischemic heart disease, valvular disease, congenital heart disease, hypertension, etc. It has been defined as the physiopathological state where an abnormality of the heart function is responsible for the fall of the cardiac output necessary to mantain the metabolic requirements. This definition is not entirely correct, as there are situations where one can see that there is no variation in the cardiac output. The correct definition should be: systolic or diastolic dysfunction, or both, accompanied by a reduced tolerance to exercise, a high incidence of ventricular arrythmias, and a shortened life expectancy [1].

Keywords

Chronic Heart Failure Latissimus Dorsi Chronic Heart Failure Patient Blood Pump Artificial Heart 
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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References

  1. 1.
    Cohn JN (1988) Current therapy of the failing heart. Circulation 78:1099–1107PubMedCrossRefGoogle Scholar
  2. 2.
    Alvarez CB et al. (1987) Enalapril en la insuficiencia cardiaca congestiva - estudio cooperativo. Rev Argent Cardiol 55:134–143Google Scholar
  3. 3.
    Kannel WB, Plehn JF, Couples LA (1988) Cardiac failure and sudden death in the Framingham study. Am Heart J 115:869–875PubMedCrossRefGoogle Scholar
  4. 4.
    Cohn JN, Archibal DG, Francis GS et al. (1987) Veterans Administration cooperative study. Circulation 75:IV49-IV54PubMedGoogle Scholar
  5. 5.
    Woosley RL, Echt DS, Roden DM (1986) Effects of congestive heart failure on the pharmacokinetics and pharmacodynamics of antiarrythmic agents. M J Cardiol 57:25BCrossRefGoogle Scholar
  6. 6.
    Hagar JM, Rahimtoola SH (1991) Chagas’ heart disease in the United States. N Engl J Med 325:763–768PubMedCrossRefGoogle Scholar
  7. 7.
    Cohn JN, Levine TB, Olivari MT, Garberg W, Lura D, Francis GS, Simon A (1984) Plasma norepinephrine as a guide to prognosis in patients with chronic congestive heart failure. N Engl J Med 311:819–823PubMedCrossRefGoogle Scholar
  8. 8.
    Levine TB, Franciosa JA, Urobel T, Cohn JN (1982) Hyponatraemia as a marker for high renin heart failure. Br Heart J 47:161–166PubMedCrossRefGoogle Scholar
  9. 9.
    Jennings GL, Esler MD (1990) Circulatory regulation at rest and exercise and the functional assesment of patients with congestive heart failure. Circulation 81:115–1113Google Scholar
  10. 10.
    Consensus Trial Study Group (1987) Effects of enalapril on mortality in severe congestive heart failure. N Engl J Med 316:1429CrossRefGoogle Scholar
  11. 11.
    Kolff WJ (1983) Artificial organ forty years and beyond. Trans Am Soc Artif Intern Organs 29:6–24PubMedGoogle Scholar
  12. 12.
    Liotta D, Crawford ES, Cooley DA, De Bakey ME, Urquia M, Feldman L (1962) Prolonged partial left ventricular bypass by means of intrathoracic pump implanted in the left chest. Trans Am Soc Artif Intern Organs 8:90PubMedGoogle Scholar
  13. 13.
    Liotta D, Hall CW, Henly WS, Beall AC, Cooley DA, De Bakey M (1963) Prolonged assisted circulation during and after cardiac or aortic surgery. I. Prolonged left ventricular bypass by means of an intrathoracic circulatory pump. II. Diastolic pulsation of the descending thoracic aorta. Trans Am Soc Artif Intern Organs 9:182Google Scholar
  14. 14.
    Liotta D, Hall CW, Henly WS, Cooley DA, Crawford ES, De Bakey ME (1963) Prolonged assisted circulation after cardiac or aortic surgery. Prolonged partial left ventricular bypass by means of intracorporeal circulation. Am J Cardiol 12:399PubMedCrossRefGoogle Scholar
  15. 15.
    Cooley CA, Liotta D, Hallman GL, Bloodwell RD, Leachman RD, Nora JD, Fernbach DJ, Milan JD (1969) Orthotopic cardiac prosthesis for two-staged cardiac replacement. Am J Cardiol 24:723–730PubMedCrossRefGoogle Scholar
  16. 16.
    Farrar DJ, Hill JD, Gray LA et al. (1988) Heterotopic prosthetic ventricles as a bridge to cardiac transplantation: a multi-center study in 29 patients. N Engl J Med 318:330–340.CrossRefGoogle Scholar
  17. 17.
    Rosenberg G, Pierce WS, Landis DL, Snyder AJ, Richenbacher WE, Weiss W, Felder G, (1984) Progress in the development of the Pennsylvania State University motor-driven artificial heart. In: Unger F (ed) Assisted circulation, vol 2. Springer, Berlin Heidelberg New York, pp 270–284CrossRefGoogle Scholar
  18. 18.
    Portner PM, Oyer PE, Jassawalla JS, Chen H, Miller PJ, LaForge DH, Green GF, Shumway NE (1984) A totally implantable ventricular assist device for end-stage heart disease In: Unger F (ed) Assisted circulation. Springer, Berlin Heidelberg New York, pp 115–141CrossRefGoogle Scholar
  19. 19.
    Portner PM, LaForge DH, Pitzele S, Maeder PA, Lee J (1979) Transcutaneous energy for an implanted electrical circulatory support system using distributive inductive coupling. Proc Eur Soc Artif Organs 6:109–112Google Scholar
  20. 20.
    White MA (1986) Implantable energy source for artificial heart. In: Akutsu T (ed) Artificial heart. Springer, Berlin Heidelberg New York, chap 4Google Scholar
  21. 21.
    Liotta D, Taliani T, Giffonielo AH, Sarria Deheza F, Liotta S, Lizarraga R, Tolocka L, Pagano J, Bincciotti E (1961) Artificial heart in the chest: preliminary report. Trans Am Soc Intern Organs 7:318Google Scholar
  22. 22.
    Liotta D, DelRio M, Cooley D (1986) The artificial heart. In: Cheng TO (ed) Comprehensive cardiology. Pergamon, New York, pp 1164–1181Google Scholar
  23. 23.
    Salmons S, Streter EA (1976) Significance of impulse activity in the transformation of skeletal muscle type. Nature 263:30–34PubMedCrossRefGoogle Scholar
  24. 24.
    Salmons S, Vrbova G (1969) The influence of activity on some contractile characteristics of mammalian fast and slow muscle. Physiol J (Lond) 210:535–549Google Scholar
  25. 25.
    Salmons S, Jarvis J (1990) The working capacity of skeletal muscle transformed for use in cardiac assist role. In: Chiu RCJ et al. (eds) Transformed muscle for cardiac assist and repair. Futura, Mount Kisco, pp 89–104Google Scholar
  26. 26.
    Carpentier A, Chachques JC (1985) Myocardial substitution with a stimulated skeletal muscle: first successful clinical case Lancet 1:1267PubMedCrossRefGoogle Scholar
  27. 27.
    Stephenson LW (1991) 4th World Symposium on Transformed Skeletal Muscle of Cardiac Assist. J Card Surg 6 (1) SupplGoogle Scholar
  28. 28.
    Chiu RC, Bourgeois LM (1990) Transformed muscle for cardiac assist and repair. Futura, Mount KiscoGoogle Scholar
  29. 29.
    Kantrowitz A, McKinnon W (1959) The experimental use of the diaphragm as an auxiliary myocardium. Surg Forum 9:266Google Scholar
  30. 30.
    Stephenson LW, Ruggiero R, Niinami H, Pochettino A, Hammond RL, Hooper TL, Huiping L, Anderson DR, Spanta AD (1991) Skeletal muscle ventricles; update after 18 months in circulation. Artif Organs 15:350PubMedGoogle Scholar
  31. 31.
    Chiu R, Walsh GL, Dewar MI et al. (1987) Implantable extra-aortic balloon assist powered by transformed, fatigue-resistant skeletal muscle. J Thorac Cardiovasc Surg 94:694–701PubMedGoogle Scholar
  32. 32.
    Liotta D, Ortolan E, DeCarli, Sancineto, Liotta CA, Alvarez CB (1990) Linear contraction LD muscle-powered LVAD. Biomation in 21st Century, International Symposium May 12–15. Nihon University School of Medicine, TokyoGoogle Scholar
  33. 33.
    Spitzer DE (1984) Apparatus for powering a body implant device. (US patent 4, 453, 537)Google Scholar
  34. 34.
    Ugolini F (1986) Skeletal muscle for artificial heart drive: theory and in vivo experiment. In: Chiu RCJ (ed) Biomechanical cardiac assist: cardiomyoplasty and muscle-powered devices. Futura, Mount Kisko, pp 193–210Google Scholar
  35. 35.
    Farrar DJ, Hill JD (1992) A new skeletal linear-pull energy convertor as a power source for prosthetic circulatory support devices. J Heart Lung Transplant 11:341–350Google Scholar
  36. 36.
    Laura P et al. (1991) Estudios de un sistema hidraulico aplicado a una bomba de sangre para la asistencia circulatoria. Proc CONICET, Bueuos AiresGoogle Scholar
  37. 37.
    Pisarello J, Zeuli S, Galetar J, Ponzone C, Godia J, Liotta CA, Peschi M, Pinchete C, Liotta D (1992) Desarrollo de un dispositivo de asistencia ventricular izquierda implantable con fuente de energia endogena para el tratamiento de pacientes con insuficiencia cardiaca cronica terminal. (Programa PROCOAR), XIII Congreso Nacional de Cardiologia, Mar del Plata, Argentina, Oct 8–12Google Scholar
  38. 38.
    Liotta D, Ponzone C, Godia J, Pisarello J, Galetar J, Liotta CA, Alvarez CB (1993) Autologous skeletal muscle-driven implantable assist blood pump for chronic refractory heart failure. International Society of Cardio-Thoracic Surgeons. Third World Congress, Salzburg, 25–27, Jan 1993Google Scholar
  39. 39.
    Liotta D and CONICET-PROCOAR investigators (1993) Direct linear-pull skeletal muscle- powered chronic implantable assist blood pump for end-stage heart failure. In: D’Alessandro LC (ed) Heart Surgery 1993. CONICET-PROCOAR, Rome, pp 229–240Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1995

Authors and Affiliations

  • D. Liotta
  • C. B. Alvarez
  • CONICET-PROCOAR Investigators

There are no affiliations available

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