[Mechanical cardiac assistance and artificial heart: historical perspectives]

E Flecher1, T Joudinaud, J-M Grinda

  • 1Service de chirurgie cardiovasculaire, hôpital européen Georges-Pompidou, 20-40, rue Leblanc, 75015 Paris, France. erwan.flecher@wanadoo.fr

Annales De Chirurgie
|March 15, 2006
PubMed

Insights

Artificial hearts offer a lifeline for end-stage heart failure patients awaiting transplants. These devices restore circulation, enabling patients to await transplantation at home, easing the donor organ shortage.

Area of Science:

  • Cardiovascular Medicine
  • Biomedical Engineering
  • Medical Devices

Context:

  • Growing impact of heart failure on patients and healthcare systems.
  • Cardiac transplantation remains the primary treatment for end-stage heart failure.
  • Shortage of donor organs and long waiting lists for cardiac transplantation.

Purpose:

  • To review the development and application of artificial hearts.
  • To highlight technical advancements in artificial heart technology.
  • To discuss the potential of artificial hearts as destination therapy.

Summary:

  • Artificial hearts (total and partial) were developed due to donor organ scarcity.
  • Technical progress since 1957 allows patients to have circulation restored and await transplantation at home.
  • Encouraging results and device miniaturization suggest artificial hearts as destination therapy for ineligible transplant candidates.

Impact:

  • Provides a viable circulatory support option for end-stage heart failure patients.
  • Addresses the critical shortage of donor hearts for transplantation.
  • Offers potential for improved quality of life and extended survival for patients ineligible for transplantation.

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