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Updated: Jul 11, 2026

Implantation of the Syncardia Total Artificial Heart
Published on: July 18, 2014
Off-pump implant of the Jarvik 2000 ventricular assist device through median sternotomy
Ani C Anyanwu1, Gregory W Fischer, Irina Plotkina
1Department of Cardiothoracic Surgery, Mount Sinai Medical Center, New York, NY 10029, USA. anelechi.anyanwu@mountsinai.org
Abstract:
Implantation of a left ventricular assist device through a median sternotomy usually requires cardiopulmonary bypass. However, the biological response to cardiopulmonary bypass is sometimes deleterious in end-stage heart failure patients, as it may compound pre-existing coagulopathy or multiorgan dysfunction. Therefore, there are potential advantages to avoiding cardiopulmonary bypass during left ventricular assist device placement. We describe a technique for off-pump implantation of the Jarvik 2000 left ventricular assist device (Jarvik Heart Inc, New York, NY) through a median sternotomy.
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