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J Thorac Cardiovasc Surg 2009;137:243-245
© 2009 The American Association for Thoracic Surgery

Brief Communication

Partial left ventricular support implanted through minimal access surgery as a bridge to cardiac transplant

^a University Hospital, Leuven, Belgium
^b University of Maryland, College Park, Md
^c University of Louisville, Louisville, Ky
^d Newark Beth Israel Medical Center, Newark, NJ
^e Columbia University, New York, NY

Received for publication December 30, 2007; accepted for publication February 2, 2008.

^_* Address for reprints: Filip Rega, MD, University Hospitals Leuven, Cardiac Surgery, Herestraat 49, 3000 Leuven, Belgium.

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

The clinical benefits of implantable left ventricular assist devices (LVADs) as a bridge to transplant and for destination therapy have been demonstrated.^1-3 The low rate of LVAD use is attributed to the invasive nature of the implantation surgery and the relatively high rate of complications.⁴ If LVADs were used in less critical hemodynamic and clinical states, the flow requirements could be reduced.

The Synergy Micro-Pump (CircuLite, Inc, Hackensack NJ) is approximately the size of a size AA battery, weighs only 25 g, and can pump as much as 2.5 to 3 L/min. Its small size permits insertion through a right-sided minithoracotomy. The pump is then placed subcutaneously in the pectoral region, similar to a pacemaker. This is the first clinical report describing the Synergy Micro-Pump's implantation procedure, hemodynamic effects, and clinical results.

Clinical Summary

The patient was a 46-year-old man (weight 85 kg, height 184 cm, body surface area 2.01 m²) without significant illness in his medical history who had a large anterior myocardial infarction in March 2007. New York . . . [Full Text of this Article]

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