Implanted Jarvik 2000 FlowMaker left ventricular assist device: three-dimensional computed tomography reconstruction.

A 45-year-old man with recurrence of acute HF due to end-stage dilatative cardiomyopathy, evolving from hy-pertrophic non-obstructive cardiomyopathy, despite maximal medical therapy and mitral-annuloplasty (Carpentier Physio N 30), underwent a Jarvik 2000 FlowMaker implantation (Fig. 1). Heart transplantation was contra-indicated due to severe fixed pulmonary hypertension (11 UW). Fig. 1. A postoperative computed tomographic scan showed a satisfactory position of the device. The post-implantation 3-D CT reconstruction (multiscan, 64-slice) showed clearly, in different aspects, the LVAD intraventraventricular position (A), the device's inflow aspect (B) and the outflow graft (C), routing with a 'softly' circuit, reducing the likelihood of kinking, first in left pleural-diaphragmatic space, down to left pulmonary hilus, and after parallel to aorta just to anastomosis side to the first tract of descending aorta (D). The drive line (E) and the prosthetic mitral ring are also visible (F).