Ventricular assist devices (VADs)


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Definition

By Mayo Clinic staff

A ventricular assist device (VAD) is an implantable mechanical pump that helps pump blood from the lower chambers of your heart (the ventricles) to the rest of your body. VADs are used in people who have weakened hearts or heart failure. Although VADs can be placed in the left, right or both ventricles of your heart, they are most frequently used in the left ventricle. When placed in the left ventricle they are called left ventricular assist devices (LVADs).

You may have a VAD implanted while you wait for a heart transplant or for your heart to become strong enough to effectively pump blood on its own. Your doctor may also recommend having a VAD implanted as a long-term treatment if you have heart failure and you're not a good candidate for a heart transplant.

The procedure to implant a VAD requires open-heart surgery and has serious risks. However, a VAD can be lifesaving if you have severe heart failure.

References
  1. Heart failure. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/hf/. Accessed Feb. 2, 2012.
  2. Jessup M, et al. 2009 focused update: ACCF/AHA guidelines for the diagnosis and management of heart failure in adults. Circulation. 2009;119:1977.
  3. Ventricular assist device. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/vad/vad_all.html. Accessed Feb. 2, 2012.
  4. Slaughter MS, et al. Advanced heart failure treated with continuous-flow left ventricular assist device. New England Journal of Medicine. 2009;361:1.
  5. Mancini D, et al. Mechanical device-based methods of managing and treating heart failure. Circulation. 2005;112:438.
  6. Anscheim DD, et al. Innovation with experience using implantable left ventricular assist devices. Circulation: Heart Failure. 2009;2:1.
  7. Heart transplant. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/ht/ Accessed Feb. 2, 2012.
  8. Total artificial heart. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/tah/. Accessed Feb. 2, 2012.
  9. Mitter N, et al. Update on ventricular assist devices. Current Opinion in Anaesthesiology. 2010;23:57.
MY01077 March 13, 2012

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