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In 1985, UPMC surgeons implanted the nation's second Jarvik Artificial Heart as a bridge-to-transplantation. In 1990, UPMC became the first medical center to discharge a patient on a ventricular assist device (VAD).
Today, we continue to pioneer the use of mechanical circulatory support devices, treating numerous people, and making our Artificial Heart program one of the most active programs of its kind in the U.S.
A left ventricular assist device (LVAD), also called a heart pump or an artificial heart, is an implanted device that helps your heart pump blood to the rest of your body. These devices are commonly used for people who have a weakened heart muscle or end-stage heart failure.
The goal of an LVAD is to extend life and improve quality of life for people with end-stage heart failure.
People with end-stage heart failure may be candidates for artificial heart and LVAD services. LVADs serve different purposes, depending on your health and needs.
Whether you require an LVAD for a short amount of time or as a more permanent solution, there are several devices available to be implanted.
UPMC experts specialize in using minimally invasive techniques for LVAD implantation. Our experts have also performed robotic-assisted HM3 implant procedures.
Research shows that this approach can lead to excellent clinical outcomes, including reduced postoperative bleeding, a shorter stay in the hospital, and improved overall survival.
From implanting the Jarvik Artificial Heart in 1985 to today's advanced circulatory support devices, the UPMC Heart and Vascular Institute continually sets the standard in technological innovation and clinical excellence.
Our clinicians are always working to develop new ventricular assist device (VAD) designs and improve existing designs. We've applied our research to improving both patient survival and quality of life after implantation.
Our program has served as a national training center for medical centers implementing certain VAD programs. To date, approximately 60 centers throughout the United States have sent teams of specialists to Pittsburgh for training exercises led by our artificial heart and VAD team.
We're studying new short-term left and right heart support devices that can be implemented through minimally invasive approaches.
Over the years, we've developed effective ways of working with VADs and the people who need them.
We've refined our techniques to function with the utmost efficiency, and our comprehensive approach has enabled us to deliver outstanding patient outcomes. Our doctors, engineers, and researchers work together to:
Getting an LVAD implanted requires major surgery. Your doctor will recommend several tests, such as imaging exams and blood tests, to determine if an LVAD is right for you.
Your doctor will review the risks and benefits of the procedure, as well as what device is best for you. Your care team will also tell you how to prepare, not only for surgery, but also for life with an LVAD.
Having an LVAD requires lifestyle changes. You will need to take certain precautions to care for the device and take medications, such as blood thinners. Before you have the procedure, your doctor will discuss what to expect during and after surgery.
Most LVADs require open heart surgery, although minimally invasive techniques may be an option in some cases. Your doctor will talk with you about whether the procedure can be performed using minimally invasive techniques.
On the day of your surgery, you will have general anesthesia, which means you will sleep through the procedure. A ventilator will help you breathe. A heart-lung bypass machine will maintain blood flow to your body throughout the surgery.
An incision will be made in your chest to access your heart. The surgeon will implant the device and ensure it is working before closing the incision. On average, the surgery lasts about four to six hours.
After the surgery, you will spend time in the intensive care unit (ICU) and will likely need ventilator support as your body adjusts to the new device. The ventilator helps you breathe as you recover.
When ready, you'll move into a hospital room, where your care team will help you prepare to go home. The length of stay may vary for every individual patient, but you may spend two to three weeks in the hospital after surgery. During this time, you'll learn how to care for yourself and your device.
When you're able to go home, plan to have a family member or caregiver available to help you for a few weeks. It's important that you follow all instructions for maintenance, medications, exercise, and healthy eating. This will ensure you get the best results with your new device.
You will need to care for the device and lead a heart-healthy lifestyle. Your doctor may recommend cardiac rehabilitation to help you grow stronger and learn healthy habits.
With an LVAD, you will need to avoid:
People have lived for months or years with an artificial heart while waiting for a heart transplant.
For more information about heart transplants, LVADs or to make an appointment for an evaluation, visit the UPMC Heart Transplant Program or contact us.
Our artificial heart and VAD care team includes experts in cardiology, cardiac surgery, and biomedical engineering. We’re here to provide you with the best care and treatment to help you live a healthier life.
By UPMC Editorial Staff. Last reviewed on 2024-10-01 by Amanda Hopwood, PA-C.
