First Successful use of the New ab5000 Portable Circulatory Support Console as Bridge to Recovery in a Case of Dilated Cardiomyopathy

Abstract

Introduction

Growing clinical experience and improved technology have led to more widespread use of ventricular assist devices in patients with end-stage heart failure.

Methods

We report the case of a patient with preexisting cardiomyopathy who arrived at our center in cardiogenic shock and received a biventricular assist device.

Results

The new compact Abiomed Portable Circulatory Support Console facilitated mobilization of the patient which was particularly advantageous in the face of transient hemiparesis. After recovery from cardiogenic shock, device removal was performed following a bridge-to-recovery concept. He was discharged in a state of full cardiac recompensation and is back to everyday life with stable cardiac function up to 24 months after the incident.

Conclusions

This is the first report describing successful clinical use of the AB5000 assist device in combination with the portable console. Furthermore, it underlines the potential of temporary circulatory support to induce permanent myocardial recovery even in cases of preexisting cardiomyopathy.