Ventricular assist device: saving the failing heart

Improving the survival and quality of life of patients with end-stage heart failure is the primary goal of using a ventricular assist device, generally known as mechanical circulatory support. Ventricular assist devices are a practical long-term surgical option for a select group of patients with end-stage heart failure.

A case study is used to demonstrate the process of selection and evaluation of patients with end-stage heart failure for ventricular assist device therapy. Also, a detailed description of all aspects of care of patients before, during, and after implantation of a ventricular assist device is presented.

A ventricular assist device is a superior therapeutic option for patients with end-stage heart failure who have become intolerant to medical therapy or in whom medical therapy has been unsuccessful. Advances in device technology through the development of nonpulsatile continuous flow devices are showing favorable long-term outcomes for patients with a ventricular assist device by minimizing complications and enhancing quality of life.