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The Syncardia Total Artificial Heart 

The Syncardia Total Artificial Heart
Chapter:
The Syncardia Total Artificial Heart
Author(s):

Steven Langford

and Francisco A. Arabía

DOI:
10.1093/med/9780190909291.003.0016
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date: 30 May 2020

The 70-cc Syncardia TAH is the only device with FDA approval as a bridge to transplant in patients with biventricular failure, with a history that dates back to the earliest days of mechanical circulatory support. Clinical trials are currently underway to establish a destination therapy indication for the 70-cc device and a bridge to transplant indication for the 50-cc device. With the current heart allocation system in the United States, the TAH is the only dischargeable platform for patients who are listed as Status 2. Adverse events remain the primary limitation of these devices, and careful patient selection is critical for achieving excellent postoperative outcomes.

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