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Monday, 10 April, 2000, 16:20 GMT 17:20 UK
Heart pump could ease transplant crisis

The new device could lessen the need for transplants
A revolutionary long-lasting mechanical heart could eventually reduce the need for transplants, doctors hope.

A team from the Oxford Heart Centre has flown to the US to help in an operation to implant the tiny device into one of the chambers of a patient's heart.

At the moment, artificial hearts are only intended as a stopgap measure to keep patients alive while either their own heart recovers, or a transplant organ becomes available.

A plastic heart was implanted into six-year-old cardiomyopathy patient Sally Slater this month as she awaited her transplant operation.

However, the new device, the Jarvik 2000, is designed to carry on working indefinitely, pumping 10 litres of blood around the body every minute.

It could even eventually have its own rechargeable power supply implanted near the patient's ear.

Alternative needed

And with a chronic shortage of suitable donor hearts for transplantation, the development of mechanical hearts is seen as a necessary alternative.



The Jarvik 2000 has a tiny turbine
The pump is a miniature turbine, placed inside the left ventricle of the heart. This is the chamber which gives the heart most of its pumping power when it contracts.

It was partly developed by heart surgeon Mr Stephen Westaby, who is one of those flyng out to take part in Monday's pioneering operation at the Texas Heart Institute in Houston.

At the moment the device is not "licensed" as safe to use in the UK, meaning the operation cannot yet be carried out here.

However, Mr Westaby is hoping to start fully evaluating the metal heart in UK patients soon.

Following the latest operation, the pump will be only left in the patient for approximately six months. At that point, it will be removed and the patient given a transplant.

Then the removed heart will be examined to see how it coped with the implant.

Few British patients have been given any sort of artificial heart in the past.

Five months survival

Five years ago, a less sophisticated version was given to a 64-year-old man, who survived for five months.



Stephen Westaby with an earlier pump
Several children have been given pumps temporarily while they await transplants. In some cases, the extra help given by the pump takes the strain off the heart muscle, allowing it to recover.

However, the Jarvik 2000 is not cheap - at the moment each one costs in the region of �40,000, although it should become less expensive.

The extra research needed to prove the device works will cost �1m, and much must be raised from charity.

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