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Avimael
Santos was 39 years old when he suffered
cardiac arrest and shock following a procedure to
repair a heart valve. Dr. Charles Moore at the University
of Texas Health Science Center implanted the BVS 5000,
a temporary heart assist device. The BVS did the pumping
for his heart for two weeks, after which he was switched
to a longer-term device and received a heart transplant
at CHRISTUS Transplant Institute in San Antonio, Texas.
Since his transplant, Avimael and his wife have welcomed
a new baby into their family.
Wolfram Schäfer, who comes from a small town in the Southwest part of Germany, lost most of his family members (many of whom smoked) to heart disease. They were all just in their 50’s or early 60’s. As a father of 5 children, he therefore took his own health very seriously. One day in July of 2006 he visited his family doctor for a check up. It was a good thing he went that day since his doctor noticed something strange on his EKG and sent him to a special clinic for further investigation. This clinic diagnosed an ongoing heart attack and immediately arranged for transport to the Westpfalz-Clinic in Kaiserslautern where he was sent directly into the Cardiac Catheter Lab.
What happened thereafter can only be told by others. Mr. Schäfer underwent emergency quintuple bypass (5x CABG in the jargon) in an 11 hour marathon OP performed by a team of four surgeons. Since his heart was too weak to keep his body supplied with enough blood to survive and recover, surgeons emplaced an Impella LP5.0 catheter pump (see picture) into his heart so enough blood could be pumped through his body after the operation.
Thereafter, he lay in a coma for two weeks in the intensive care unit, his wife coming to visit him every single day, hoping for recovery. While he was still in a coma, his heart had recovered enough that the doctors could slowly wean him from the support of the Impella and finally remove it. Just a few days after that, he awoke from the coma to his overjoyed wife. Four weeks after the OP he could finally get out of bed to walk around. In February of 2007 he returned part time and in April, to full time work. Since then he could also enjoy one of his favorite activities again: bicycle riding.
Without the Impella, he never would have made it. He thanks his wife for her support and of course the team at Kaiserlautern who took care of him night and day. He also thanks the team at Abiomed for developing such life-saving technology. He often reflects back on this time and asks “What drives people to help their fellow man in such a way?” The answer, in his words, comes from his favorite Beatles song: “All you need is love”.
Matt
Hess of Monk's Corner, SC was fourteen years
old when he came down with some flu-like symptoms.
Over the course of a weekend, he became so sick that
he had difficulty getting himself dressed. That Monday,
instead of taking him to see the family doctor, his
mother drove him straight to the emergency room.
Shortly after arriving, Matt went into cardiac arrest,
and he was airlifted via helicopter to MUSC for treatment.
The clinical team worked on him for four hours before
coming out to talk to his parents. Desperately ill
from a virus that had attacked his heart, the doctors
offered the family only two choices: do nothing and
let him die, or put him on ABIOMED's BVS 5000
Circulatory Support System to let his heart rest and
hopefully recover.
Of course, the family chose the option that had a chance
of saving his life, the BVS 5000. Matt went into cardiac
arrest another 4 times while they were implanting
the device. Once implanted, however, the BVS 5000
took over the work for his heart and helped him stabilize.
Matt was unconscious for several weeks during this
ordeal. When he began to regain consciousness, his
mother and the nurses heard him uttering, "Thank
you, thank you, thank you." When they asked him
who he was talking to he said, "I'm thanking
God that I made it."
After finding out how long he'd been in the hospital
he added, "Do you know how much makeup homework
I'm going to have?" At that point, his
family knew that he was going to okay. "
There is no question, that machine saved my son's
life," said Matt's mother, Robin Hess.
"I think that this device belongs in every hospital."
Although the BVS 5000 did save his life, Matt still
had a tough recovery ahead of him. His poor circulation
meant that his kidneys stopped functioning correctly,
and he required dialysis. In addition, his severe
and sudden heart failure resulted in poor circulation
to his feet and they needed to be amputated.
Now 16, Matt is back in school. Fitted with prosthetic
feet, he enjoys playing basketball with his friends.
MUSC will often contact him, and ask him to talk with
other children who are going through similar medical
ordeals.
Neil
Sharp, 68, has a history of heart issues.
In 1980, he had eight blocked coronary arteries that
required open-heart surgery. Five years later, he
needed an additional two coronary artery bypass grafts
(CABGs). In 2001, he experienced another two blockages.
With precious few "targets" left to be
grafted onto, his surgeon, Dr. Richard Morrison at
Memorial Hospital in Chattanooga, Tennessee found
one vessel he could graft to and used a TMR laser
to revascularize the rest of the heart. Although the
surgery was successful, he was unable to separate
from bypass and required support on both sides of
his heart with the BVS 5000. After six days on support,
his heart's function returned and he was weaned
off the device.
Mr. Sharp is feeling well, and has taken up walking,
logging 4 to 6 miles a day. "I'm just
blessed," he said. "Every day is a bonus
day."
Ricky
Walton's father had suffered from heart problems
that required him to undergo a double coronary artery
bypass. His mother died of a heart attack. His older
brother died of a heart attack at the age of 44, and
his grandmother was one of the first patients to be
implanted with a pacemaker at the University of Alabama
at Birmingham. So when Rick experienced numbness in
his arms, he took it seriously: Although he'd
been about to head out on a motorcycle trip to Biloxi,
instead he drove himself directly to the hospital.
The doctors later told him that it was a good thing
he did, because without immediate intervention in
the face of the massive heart attack he'd suffered,
he would have died. The surgical team did six off-pump
coronary artery bypass grafts (CABGs). The surgery
went well, but when he was being wheeled out of the
ICU he ended up going into ventricular fibrillation,
after which his heart was unable to recover. He was
rushed back into the OR and was put onto a BiVAD BVS
for six days, recovered and went home.
"Without the BVS, I don't think I would
have had these extra years," said Mr. Walton.
Not only is he a success story, he's also a good story
of how successful BVS patients can be when they are
implanted as soon as possible. "And I wouldn't
have gotten to see my first grandson, and he's
a blessing," he added.
A locksmith, Mr. Walton is back to work and back to
enjoying the things he liked to do before the heart
attack. He spends time with his grandson, enjoys motorcycle
trips, and volunteers at the cardiac unit in the hospital
where his life was saved, Baptist Medical Center,
Princeton.
Rudranauth
Persaud, a 44 year old software programmer,
had just returned from vacation with his wife and
three children when he began to experience chest pain.
He was taken to North Shore University Hospital, where
it was discovered he was having a heart attack. He
was put on Bivad BVS support and later transferred
to Mt. Sinai and switched to the AB5000, which supported
him for two months while he awaited transplant.
Mr. Persaud has been discharged home following the
transplant, and is recovering and making plans to
return to work. " I am so thankful for that machine,"
said his wife Addie. "Without this machine he
would have been dead. I saw first-hand how the AB5000
kept him alive."
Shirley
Jackson of Thomaston, GA was on an outing
with her grandchildren in July of 2002 when she began
to not feel well. After lying down in the truck for
a short while, her chest pains got worse, and her
arm became numb. Her family cut the outing short to
rush her to the hospital, where they found out she'd
had a heart attack that damaged half her heart beyond
repair. She was 52 years old.
Ms. Jackson's surgeon, Dr. Harvey at Medical
Center Central Georgia implanted the BVS 5000 to support
the left side of her heart. It was clear that she
would need support while waiting for a transplant.
Unfortunately, Ms. Jackson had a new job, which meant
that she was only eligible for limited health coverage
until she had been there for more than a year. Her
surgeons began to look for a hospital that would be
able to take her case.
After calling everywhere, a hospital was found: in
New York. Dr. Jose Garcia at Montefiore Medical Center
flew down, helped get Ms. Jackson on a transport plane,
and flew her back up to the Medical Center. She was
switched to a longer-term device and then transplanted.
Dr. Garcia and Montefiore helped the family through
every step of the process – not only was she
successfully transplanted, but the hospital also helped
make sure she could see New York City during her recovery.
When it was time to return home, Dr. Garcia drove
the family to the airport.
Two years later, Ms. Jackson is doing well, and enjoys
shopping and spending time with her grandchildren.
Dr. Garcia and his staff call almost monthly to see
how she is doing.
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