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Updated: Jul 14, 2026

16:11
Implantation of the Syncardia Total Artificial Heart
Published on: July 18, 2014
Prolonged mechanical support of the left ventricle.
W S Pierce1, J H Donachy, D L Landis
1Department of Surgery, College of Medicine, The Milton S. Hershey Medical Center, The Pennsylvania State University, 500 University Drive, Hershey, Pennsylvania 17033, USA.
Circulation
|September 1, 1978
Summary
A novel left ventricular assist pump system effectively supports circulation in calves and patients with cardiac failure. This innovative device aids in unloading the left ventricle, proving crucial for post-cardiac surgery recovery.
Area of Science:
- Cardiovascular Engineering
- Biomedical Devices
- Cardiac Surgery Support
Background:
- Development of a novel left ventricular assist pump system.
- System comprises a modified sac type pump, pneumatic power unit, and synchronizer.
- Pump designed for filling from the left ventricle and discharging into the aorta.
Observation:
- System tested in 12 normal calves for an average of 70 days.
- Evaluated in calves with induced profound left ventricular failure.
- Successfully employed in four patients unable to be weaned from cardiopulmonary bypass post-valve replacement.
Findings:
- Assist pump effectively supports circulation.
- Demonstrates complete unloading of the left ventricle.
- Supported circulation in three of four human patient cases.
Implications:
- Potential for improved outcomes in patients with severe left ventricular dysfunction.
- Offers a viable solution for weaning difficulties after cardiac valve surgery.
- Facilitates recovery of native left ventricular function, enabling device explantation.
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Anatomy of the Heart
The human heart is made up of three layers of tissue that are surrounded by the pericardium, a membrane that protects and confines the heart. The outermost layer, closest to the pericardium, is the epicardium. The pericardial cavity separates the pericardium from the epicardium. Beneath the epicardium is the myocardium, the middle layer, and the endocardium, the innermost layer. There are four chambers of the heart: the right atrium, the right ventricle, the left atrium, and the left ventricle.
Overview of the Heart
The heart, a muscular organ located in the chest, functions as the body's pump, circulating blood through the vascular system. It has four chambers: two atria on top and two ventricles below. The right atrium receives deoxygenated blood from the body and passes it to the right ventricle, which pumps it to the lungs for oxygenation. The left atrium receives oxygenated blood from the lungs and transfers it to the left ventricle, which pumps it to the rest of the body.
The heart's structure...
The heart's structure...
Location and Orientation of the Heart
The human heart, despite its modest size and weight, is an organ of remarkable strength and endurance. Roughly the size of a fist, the heart weighs between 250 and 350 grams and is nestled within the mediastinum, the medial cavity of the thorax. It extends obliquely for about 12 to 14 cm, resting on the superior surface of the diaphragm. The heart is positioned anterior to the vertebral column and posterior to the sternum, with two-thirds of its mass lying to the left of the midsternal line.
Chambers of the Heart
The human heart is a complex organ made up of four chambers: the right and left atria and the right and left ventricles. These internal chambers are separated by partitions known as the interatrial and interventricular septa. The exterior of the heart features a groove known as the coronary sulcus that demarcates the atria from the ventricles, while the anterior and posterior interventricular sulci distinguish between the two ventricles.
Deoxygenated blood from the body is received in the right...
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Heart Valves
The human heart is a complex organ with an intricate system of valves that regulate blood flow. There are two main types of valves: atrioventricular (AV) valves and semilunar valves.
The AV valves prevent the backflow of blood from the ventricles to the atria during ventricular contraction. These valves function with the assistance of the chordae tendineae and papillary muscles. When the ventricles are relaxed, the chordae tendineae are slack, allowing blood to flow from the atria into the...
The AV valves prevent the backflow of blood from the ventricles to the atria during ventricular contraction. These valves function with the assistance of the chordae tendineae and papillary muscles. When the ventricles are relaxed, the chordae tendineae are slack, allowing blood to flow from the atria into the...
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The heart is a hollow, muscular organ approximately the size of a fist, consisting of four chambers. It is enclosed in the pericardium, a fibrous sac with two layers: the visceral and parietal pericardium, separated by a fluid-filled space containing serous fluid to reduce friction.
The heart has three layers: the innermost endocardium, the muscular myocardium, and the outer epicardium, all working together for optimal cardiac function.
Chambers of the Heart
The heart is made up of four...
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