Word: cheitlin
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...first consider using a less drastic mechanical aid, the so-called assist device. This piece of equipment leaves the natural heart intact but takes over the operation of one of the pumping chambers, usually the left ventricle, giving it a chance to recover and resume functioning. Says Cardiologist Melvin Cheitlin, who headed the FDA advisory panel that evaluated the device: "Once you've taken someone's heart out, you've really burnt the bridge...
Another issue is the difficulties posed by the bulky support equipment, including a refrigerator-size air compressor. Says Cheitlin: "There was discussion about the logistics of getting the power source into the operating room and eventually into the home. What about backup systems for the home?" Some implant recipients may later be considered for heart transplants at Stanford University. "How," asks Cheitlin, "will they get them from Utah to California...
...about the artificial heart, such as how to pick recipients or how to pay for implants (upwards of $50,000). William DeVries, the surgeon who hopes to do the first operation, and Robert Jarvik, who designed the device, hope that a revised application can be submitted within two months. Cheitlin was most encouraging about their chances: "They are going to come through with an acceptable proposal. I don't see any problem that it will eventually be granted...
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