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February 8, 2012

Left Ventricular Assist Device (LVAD) for Heart Failure

LVAD: Device for Heart Disease Patients

Learn about LVAD: the new treatment device for heart disease and its risks

As with any surgery, there are risks involved. Your surgeon will discuss the risks of the procedure with you.

After surgery, there are other risks, including:

  • Infection
  • Internal bleeding
  • Heart failure
  • Device failure
  • Blood clots
  • Stroke
  • Respiratory failure
  • Kidney failure

In studies, therapy with the permanent LVAD device doubled the one-year survival rate of patients with end-stage heart failure as compared with drug treatment alone. However, there were some risks, including infection, stroke, and bleeding.

Talk to your doctor to find out if a LVAD is right for you.

What Is an LVAD?

The left ventricular assist device, or LVAD, is a mechanical pump that is implanted inside a person's chest to help a weakened heart ventricle pump blood throughout the body.

Unlike a total artificial heart, the LVAD doesn't replace the heart. It just helps it do its job. This can mean the difference between life and death for a person whose heart needs a rest after open-heart surgery, or for some patients waiting for a heart transplant (called "bridge to transplant").

LVADs may also be used as destination therapy, which is an alternative to transplant. Destination therapy is used for long-term support in some terminally ill patients whose condition makes them ineligible for heart transplantation.

Left Ventricular Assist Device

How Does an LVAD Work?

Like the heart, the LVAD is a pump. The LVAD is surgically implanted just below the heart. One end is attached to the left ventricle -- that's the chamber of the heart that pumps blood out of the lungs and into the body. The other end is attached to the aorta, the body's main artery. Blood flows from the ventricles into the pump which passively fills up. When the sensors indicate it is full, the blood is ejected out of the device to the aorta.

A tube passes from the device through the skin. This tube, called the driveline, connects the pump to the external controller and power source.

The pump and its connections are implanted during open-heart surgery. A computer controller, a power pack, and a reserve power pack remain outside the body. Some models let a person wear these external units on a belt or harness outside.

The power pack has to be recharged at night.

What Are the Benefits of an LVAD?

An LVAD restores blood flow to a person whose heart has been weakened by heart disease. This helps relieve some symptoms such as being constantly tired or short of breath. And sometimes it lets the heart recover normal function by giving it a chance to rest (although this is rare). It maintains or improves other organ functions, improves exercise performance, and enables participation in cardiac rehabilitation.




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Left Ventricular Assist Device (LVAD)

What Is Heart Failure?

Heart failure does not mean the heart has stopped working. Rather, it means that the heart's pumping power is weaker than normal. With heart failure, blood moves through the heart and body at a slower rate, and pressure in the heart increases. As a result, the heart cannot pump enough oxygen and nutrients to meet the body's needs. The chambers of the heart respond by stretching to hold more blood to pump through the body or by becoming more stiff and thickened. This helps to keep the blood moving for a short while, but in time, the heart muscle walls weaken and are unable to pump as strongly. As a result, the kidneys often respond by causing the body to retain fluid (water) and sodium. If fluid builds up in the arms, legs, ankles, feet, lungs or other organs, the body becomes congested, and congestive heart failure is the term used to describe the condition.

What Causes Heart Failure?

Heart failure is caused b...

Read the Heart Failure article »




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