Long term biventricular support with Berlin Heart Excor in a Septuagenarian with giant-cell myocarditis.

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Bireta C, Tirilomis T, Grossmann M, Unsöld B, Wachter R, Perl T, Jebran A, Schoendube F, Popov A.
J Cardiothorac Surg. 2015 Jan 31;10(1):14.

 Giant-cell myocarditis (GCM) is known as a rare, rapidly progressive, and frequently fatal myocardial disease in young and middle-aged adults. We report about a 76 year old male patient who underwent implantation with a biventricular Berlin Heart Excor system at the age of 74 due to acute biventricular heart failure caused by giant-cell myocarditis. The implantation was without any surgical problems; however, a difficulty was the immunosuppressive therapy after implantation. Meanwhile the patient is 76 years old and lives with circulatory support for about 3 years without major adverse events. Also, in terms of mobility in old age there are no major limitations. It seems that in even selected elderly patients an implantation of a long term support with the biventricular Berlin Heart Excor is a useful therapeutic option with an acceptable outcome.