The growing number of patients waiting for heart transplantation more than
tripled Zn between 1989 and 1998. Various non-pulsatile mechanical circulat
ory support devices have been developed as bridge to heart transplantation
in recent years. We report the first successful Italian clinical experience
with an axial-flow pump, DeBakey VAD (TM), in a patient supported as bridg
e to transplantation for 55 days.