Abstract
Ventricular assist devices provide mechanical circulatory support and are also capable of replacing cardiac function in situations of advanced heart failure. The use of these devices as a bridge to transplantation is growing in our country. Berlin Heart Excor (Berlin Heart AG, Berlin, Germany) is a paracorporeal, pneumatically driven pulsatile flow device, that is mainly used as a bridge to transplantation in adult patients when biventricular support is required, in the presence of significant right ventricular dysfunction. The experience with such patients in our country, given complexity and frequent complications, has been bad so far. We present the first three cases of adult patients successfully transplanted in Spain after Berlin-Heart EXCOR biventricular assist device implantation. All three patients were male, mean age 65 years, and mean time on support was 150 days. This support allowed hemodynamic stabilization in our first patient (previously on venoarterial-ECMO support due to refractory cardiogenic shock) and normalization of pulmonary vascular resistance in the other two (with severe pulmonary hypertension prior to implant) thus contributing to transplantation were carried out with success.
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