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ouse but mobile Total Artificial Heart ? Abiomed’s total artificial heart – Still in clinical trials – First patient lasted several months on device – If successful, will save hundreds of thousands of live because there will be no waiting like the transplant list Signs indicating Left Ventricular Failure ? Decreased contractility ? Elevated left ventricular filling pressures ? Elevated pulmonary capillary wedge pressures ? Decrease pulmonary oxygenation Signs of Right Ventricular Failure ? Cardiac Index less than L/min/m2 ? Aortic pressure less than 90 mmHg ? Atrial pressure greater than 20 mmHg ? Pulmonary capillary wedge pressure less than 10 mmHg Cannulation sites for LVAD’s ? Inlet – Left atrium – Left ventricle – Left superior pulmonary vein ? Outlet – Aorta Cannulation sites for RVAD’s ? Inlet – Right atrium ? Outlet – Pulmonary artery Heparin