A Successful Heart Transplantation Coupled with Temporary Right Ventricular Assist Device Implantation in a Patient with (ir)Reversible Pulmonary Hypertension

Autor: Agnieszka Dyla, Wojciech Mielnicki, Jacek Waszak, Hubert Szurmiak, Krystian Jakimowicz, Roch Pakuła, Michał Oskar Zembala
Rok vydání: 2022
Předmět:
Zdroj: International Journal of Environmental Research and Public Health. 19:12206
ISSN: 1660-4601
DOI: 10.3390/ijerph191912206
Popis: Pulmonary hypertension (PH) constitutes one of the main contraindications to heart transplantation (OHT), and elevated pulmonary vascular resistance (PVR) is associated with high risk of posttransplant right heart failure (RVF). In the present case report, a patient with PH is introduced who qualified for heart lung transplantation (HLT) and underwent successful OHT with temporary right ventricle assist device (tRVAD) due to the lack of a suitable heart-lung donor. Temporary RVAD support coupled with optimal medical management may help reverse pulmonary vascular resistance, which was previously deemed as permanent in patients requiring heart transplantation.
Databáze: OpenAIRE