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Consultant, 30 years of experience
Coronary Artery Bypass Surgery, Valve repair surgery
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Heart catheter, Percutaneous transluminal coronary angioplasty, Atrial appendage closure, Rotablation, Atrial septal defect closure
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Angiology, Thoracic and Cardiac Surgery, Vascular Surgery
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LVAD is a mechanical pump that is placed in patient who have got heart failure.This device helps the bottom chamber of your heart for pumping out blood to the ventricle aorta and rest body part. Therefore, it is known as left ventricular assit device.
It cannot replaced your heart, it receives blood from the left ventricle and then deliver it to aorta. LVAD along with left ventricle pumps the blood.
Your doctor may recommend you LVAD when your left ventricle is damaged enough which affects its ability to pump blood, it can be a short term device to keep your heart pumping till you undergo heart transplant.
LVAD is permanent in some critically ill patient whose condition is not eliglible for them to undergo heart transplantation. It is also known as destination therapy.
The purpose of LVAD and pacemaker are different, LVAD helps the heart in pumping the blood effectively, while a pacemaker helps in correcting the irregular or slow heartbeat. Pacemaker generates electrical stimulation which regulated heart beat.
This device is not new, it was invented in 1962 and it was first time implanted in 1966 in a 37 years old patient.
Patients who cannot do any physical activity because of their cardiac disease, they are comfortable only when they are resting.
Yes, LVAD devices are now portable, you can return home with the LVAD and continue your normal activities while waiting for a heart to become available.
This device is implanted during open heart surgery, the pump unit is placed in the chest which is implanted by the surgeon into the apex of heart where it receives blood. A tube is used which delivers blood from aorta which works by pumping blood continuously from left ventricle to aorta. The pump is attached to cable and the controller, the cable passes from the device through the skin on your belly to controller and a small computer is placed outside your body. Controller provides you the message and alarm for helping your operating system.
Cardiac surgeon are specialized in placing LVAD.
It generally takes four to six hours and you'll be asleep during the procedure, so you shouldn't feel any pain during the procedure.
Usually an average life of 5 and half year is seen with LVAD. Mostly 85% patients live one year after they get LVAD and 70-75% patients live for 2 years after LVAD. The maximum life of seven years is seen in a patient of LVAD.
No, you cannot swim with LVAD as it cannot be submerged. There is some hope that an fully implantable device will be made in future with which you can swim easily
Exercises has given multiple beneficial effects on heart failure patients which is expected to improve the quality of life.
Even though LVAD is said to be durable and reliable device its replacement is expected in some patients.
When LVAD fails it leads to bleeding, complications, thrombosis, ischaemic and haemorrhagic strokes, infection and organ failure.
Patient have to stay in hospital for 3-5 days after recovery, most patient remain in hospital for minimum 2 to 3 weeks.
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