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Perioperative Care of the Patient With the Total Artificial Heart

Yaung, Jill MD*; Arabia, Francisco A. MD, MBA; Nurok, Michael MBChB, PhD*†

doi: 10.1213/ANE.0000000000001851
Cardiovascular Anesthesiology: Narrative Review Article
Continuing Medical Education

Advanced heart failure continues to be a leading cause of morbidity and mortality despite improvements in pharmacologic therapy. High demand for cardiac transplantation and shortage of donor organs have led to an increase in the utilization of mechanical circulatory support devices. The total artificial heart is an effective biventricular assist device that may be used as a bridge to transplant and that is being studied for destination therapy. This review discusses the history, indications, and perioperative management of the total artificial heart with emphasis on the postoperative concerns.

Published ahead of print January 19, 2017.

From the *Department of Anesthesiology, Cedars-Sinai Medical Center, Los Angeles, California; and Cedars-Sinai Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.

Published ahead of print January 19, 2017.

Accepted for publication November 28, 2016.

Funding: None.

Conflicts of Interest: See Disclosures at the end of the article.

Reprints will not be available from the authors.

Address correspondence to Jill Yaung, MD, Department of Anesthesiology, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Suite 4209, Los Angeles, CA. Address e-mail to jill.yaung@cshs.org.

© 2017 International Anesthesia Research Society
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