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Bridge to Transplantation with a Left Ventricular Assist Device

  • Jung, Jae-Jun (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Sung, Ki-Ick (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jeong, Dong-Seop (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Wook-Sung (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Young-Tak (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Park, Pyo-Won (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 투고 : 2011.08.26
  • 심사 : 2011.11.25
  • 발행 : 2012.04.05

초록

A 61-year-old female patient was diagnosed with dilated cardiomyopathy with severe left ventricle dysfunction. Two days after admission, continuous renal replacement therapy was performed due to oliguria and lactic acidosis. On the fifth day, an intra-aortic balloon pump was inserted due to low cardiac output syndrome. Beginning 4 days after admission, she was supported for 15 days thereafter with an extracorporeal left ventricular assist device (LVAD) because of heart failure with multi-organ failure. A heart transplant was performed while the patient was stabilized with the LVAD. She developed several complications after the surgery, such as cytomegalovirus pneumonia, pulmonary tuberculosis, wound dehiscence, and H1N1 infection. On postoperative day 19, she was discharged from the hospital with close follow-up and treatment for infection. She received follow-up care for 10 months without any immune rejection reaction.

키워드

참고문헌

  1. Birks EJ. Left ventricular assist devices. Heart 2010;96:63-71. https://doi.org/10.1136/hrt.2007.130740
  2. Jauhar S. The artificial heart. N Engl J Med 2004;350:542-4. https://doi.org/10.1056/NEJMp038244
  3. DeBakey ME. Left ventricular bypass pump for cardiac assistance: clinical experience. Am J Cardiol 1971;27:3-11. https://doi.org/10.1016/0002-9149(71)90076-2
  4. Miller LW, Pagani FD, Russell SD, et al. Use of a continuous- flow device in patients awaiting heart transplantation. N Engl J Med 2007;357:885-96. https://doi.org/10.1056/NEJMoa067758

피인용 문헌

  1. Early cytomegalovirus reactivation after heart transplantation: A case report and literature review vol.6, pp.4, 2012, https://doi.org/10.1016/j.tpr.2021.100083