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[Artificial heart. Management and clinical utilization].

M V Martínez, J R Fraile, J Gómez-Arnau

    Revista Espanola De Anestesiologia Y Reanimacion
    |July 1, 1989
    PubMed
    Summary

    Mechanical ventricular assist devices and total artificial hearts (TAH) support patients awaiting heart transplants. This paper reviews the Utah University (Jarvik-7) TAH model, its applications, and indications for use based on global experience up to 1988.

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    Area of Science:

    • Cardiovascular Surgery
    • Biomedical Engineering
    • Transplantation Medicine

    Context:

    • Advancements in heart transplantation necessitate circulatory support for patients with cardiac failure awaiting donors.
    • Mechanical ventricular assist devices and total artificial hearts (TAH) have emerged as critical 'bridge to transplantation' solutions.

    Purpose:

    • To describe the current clinical model of the Utah University total artificial heart (Jarvik-7).
    • To review the present and potential clinical applications and indications for the Jarvik-7 TAH.
    • To summarize global experience with the Jarvik-7 TAH up to August 1988.

    Summary:

    • The Utah University (Jarvik-7) total artificial heart (TAH) is a mechanical device designed to support patients with end-stage heart failure awaiting transplantation.

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  • The paper details the device's design, clinical applications, and patient selection criteria.
  • World experience with the Jarvik-7 TAH, including outcomes and challenges, is reviewed up to August 1988.

    • Impact:

    • Provides a historical overview of a pioneering total artificial heart technology.
    • Informs understanding of the early development and clinical utility of TAH as a bridge to transplantation.
    • Highlights the evolving role of mechanical circulatory support in managing end-stage heart failure.