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Ann Thorac Surg 2001;71:S103-S108
© 2001 The Society of Thoracic Surgeons

Session 2: bridging to transplant and alternatives to transplant

Left ventricular assist device bridge to recovery: a review of the current status

Ganesh S. Kumpati, MDa, Patrick M. McCarthy, MDa, Katherine J. Hoercher, MSa

a George M. and Linda H. Kaufman Center for Heart Failure, Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio, USA

Address reprint requests to Dr McCarthy, George M. and Linda H. Kaufman Center for Heart Failure, Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, 9500 Euclid Ave, F25, Cleveland, OH 44195
e-mail: mccartp{at}ccf.org

Presented at the Fifth International Conference on Circulatory Support Devices for Severe Cardiac Failure, New York, NY, Sept 15–17, 2000.

Abstract

The use of the left ventricular assist device as a bridge to recovery represents a new phenomenon. This article focuses on bridge-to-recovery in the settings of myocarditis and dilated cardiomyopathy with a review of the hemodynamic, neurohormonal, physiologic, cellular, and molecular changes of recovery during left ventricular assist device support. Despite numerous markers of success, there is a disconnect from the limited clinical successes that are reviewed. The current status and future options to increase the chances of success are highlighted.




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