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J Thorac Cardiovasc Surg 2003;126:2100-2101
© 2003 The American Association for Thoracic Surgery

Brief communication

Mechanical support of the unrepaired postinfarction ventricular septal defect with the abiomed BVS 5000 ventricular assist device

Louis E. Samuels, MDa,*, John C. Entwistle, III, MDa, Elena C. Holmes, CRNPa, Ted Parris, MDa, Andrew S. Wechsler, MD, Philadelphia, Paa

a Department of Cardiothoracic Surgery, Hahnemann University Hospital, Drexel University, Philadelphia, Pa, USA

Received for publication January 17, 2003; accepted for publication July 22, 2003.

* Address for reprints: Louis E. Samuels, MD, Lankenau Hospital, MSB #280, 100 Lancaster Ave, Lancaster, PA 19096, USA
samuelsle@aol.com

The first 20% of the full text of this article appears below.

The Abiomed BVS 5000 (Abiomed, Inc, Danvers, Mass) is an extracorporeal pneumatic ventricular assist device (VAD) that has been used in a variety of acute cardiac conditions.1 The purpose of this report is to describe the use and cannulation strategy of the BVS 5000 VAD as a bridge to transplantation in a case of unrepaired postinfarction ventricular septal defect (VSD).

Clinical summary

A 62-year-old American man with a history of coronary artery disease had a myocardial infarction while in the Dominican Republic on September 6, 2001. On September 11, 2001, he became hypotensive from reinfarction. Physical examination revealed a new heart murmur. An echocardiogram showed a posterior ventricular VSD. He was given intravenous dopamine and prepared for transfer to the United States for further management. As a result of the World Trade Center attack, air transportation was suspended. On September 13, 2001, permission was granted for an emergency flight to Philadelphia. . . . [Full Text of this Article]




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