Implantable Continuous-Flow Right Ventricular Assist Device: Lessons Learned in the Development of a Cleveland Clinic Device Kiyotaka Fukamachi, MD,

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Implantable Continuous-Flow Right Ventricular Assist Device: Lessons Learned in the Development of a Cleveland Clinic Device Kiyotaka Fukamachi, MD, PhD, Akira Shiose, MD, PhD, Alex L. Massiello, MEBME, David J. Horvath, MSME, Leonard A.R. Golding, MBBS, FRACS, Sangjin Lee, MD, Randall C. Starling, MD, MPH The Annals of Thoracic Surgery Volume 93, Issue 5, Pages 1746-1752 (May 2012) DOI: 10.1016/j.athoracsur.2012.02.026 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Hydraulic performance of CorAide continuous-flow left ventricular assist device (CFLVAD [red]) versus DexAide continuous-flow right ventricular assist device (CFRVAD [blue]). Red and blue areas represent typical operating requirements for CFLVAD and CFRVAD, respectively. (LPM = liters per minute; RPM = revolutions per minute; VAD = ventricular assist device.) The Annals of Thoracic Surgery 2012 93, 1746-1752DOI: (10.1016/j.athoracsur.2012.02.026) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Continuous-flow right ventricular assist device (RVAD) pump placement with a continuous-flow left ventricular assist device. The continuous-flow RVAD pumps can be placed (A) in the right preperitoneal space or (B) in the right chest cavity. The Annals of Thoracic Surgery 2012 93, 1746-1752DOI: (10.1016/j.athoracsur.2012.02.026) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Intraoperative pump fitting study in a patient who received a HeartMate II continuous-flow left ventricular assist device (LVAD). (LV = left ventricle; PA = pulmonary artery; RV = right ventricle; RVAD = right ventricular assist device.) The Annals of Thoracic Surgery 2012 93, 1746-1752DOI: (10.1016/j.athoracsur.2012.02.026) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions