Doctors at Baylor St. Luke’s have successfully implanted the new 50cc SynCardia Total Artificial Heart (TAH) into a patient suffering from biventricular end-stage heart failure. The new device is a smaller version of its predecessor, the 70cc SynCardia temporary Total Artificial Heart, which received FDA approval in 2004. The patient is the third person in the country and the first in Texas to be discharged home with this smaller artificial heart.
The procedure was performed by Jeffrey Morgan, MD, Surgical Director, Mechanical Circulatory Support and Cardiac Transplant, Texas Heart® Institute (THI) at Baylor St. Luke’s, and Chief, Division of Cardiothoracic Transplant and Circulatory Support, Baylor College of Medicine. For the last half-century, the Texas Heart® Institute at Baylor St. Luke’s has led the world in the push to develop a viable, durable total artificial heart.
“This device has the potential to revolutionize the field of artificial heart technology,” Dr. Morgan said. “Due to its smaller size, we can now treat patients who previously could not be treated with artificial heart technology and get them back to living a close to normal lifestyle.”
The 50cc device is designed to fit patients, smaller in stature, with life-threatening non-reversible biventricular (both sides) heart failure. These patients are typically women and adolescents who do not have the body surface area (1.85m² or less) to receive the 70cc device. With as many as 100,000 people in the U.S. in need of new hearts and a little more than 2,500 receiving a transplant last year, the device is designed to be used either as a bridge to a donor heart transplant or for destination therapy, which provides long-term support to patients who are not candidates for transplant.
Similar to a heart transplant, SynCardia's Total Artificial Heart replaces both failing heart ventricles and the four heart valves. In most cases, SynCardia's heart restores blood flow, pumping up to 9.5 liters per minute, and eliminates complications associated with the patient's failing heart. This helps vital organs to recover faster and allows patients to be better transplant candidates when a donor heart does become available. As a result, patients usually see an improvement in their activity levels and overall quality of life.
"This device was instrumental in saving the patient’s life both by eliminating the symptoms and source of end stage heart failure and acting as bridge to transplant in someone dying from heart failure,” said the patient’s primary cardiologist Leo Simpson, MD, FACC, FHRS, FSCAI, Assistant Professor, Baylor College of Medicine and Director of Interventional Heart Failure, Baylor St. Luke’s.
The recently implanted patient is Cynthia McGuffie, 55, who previously had a pacemaker. Other artificial heart devices were too large for her.
“This is an important step in the evolution of artificial heart devices,” said James T. Willerson, MD, President, THI. “We’re proud that THI continues to lead the way in such technology to help patients.”
Other notable accomplishments include the world’s first artificial heart implant in 1969 by Denton A. Cooley, MD, and when THI surgeons implanted the SynCardia device in four patients over a 12-day period. O.H. "Bud" Frazier, MD, performed those implants and also worked on research for the first pump used in the very first artificial heart implant.
“THI and Baylor St. Luke’s have a very rich history as clinical partners in cardiovascular care,” said Gay Nord, President, Baylor St. Luke’s Medical Center. “We’re excited to build upon this 60-plus year legacy as we continue to work together through innovative collaborations.”