Long-Term Left Ventricular Assist Device (LVAD): A Rare Case of 10 Years’ Support and Follow-Up
| Autor: | Konstantin Zhigalov, Steffen Altmann, Alexander Weymann, Aleksey Baranov, Jerry Easo, Harald C. Eichstaedt, Marcin Szczechowicz, Ahmed Mashhour, Sabreen Mkalaluh |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Rare case Medicine Outpatient clinic Humans Myocardial infarction Cardiac Surgical Procedures Aged Heart Failure Ejection fraction Heartmate ii business.industry General Medicine Articles medicine.disease equipment and supplies Surgery 030220 oncology & carcinogenesis Heart failure Ventricular assist device Artificial Organs Heart-Assist Devices business Destination therapy |
| Zdroj: | The American Journal of Case Reports |
| ISSN: | 1941-5923 |
| Popis: | Patient: Male, 66 Final Diagnosis: Ischemic cardiomyopathy Symptoms: Angina pectoris • dyspnoea Medication: — Clinical Procedure: — Specialty: Surgery Objective: Unusual clinical course Background: We report a 66-year-old patient who received implantation of HeartMate II LVAD (St. Jude Medical, Minneapolis, MN, USA) as destination therapy 10 years ago. Case Report: Preoperatively, the patient developed acute heart failure due to transmural myocardial infarction requiring catecholamine therapy and intra-aortic balloon pump. Echocardiography revealed a left ventricular ejection fraction of 15%. We saw an indication for left ventricular assist device (LVAD) implantation. The intraoperative course was uncomplicated. The operation time was 153 minutes and the cardiopulmonary bypass time was 69 minutes. The procedure was performed in normothermia, and no further combined procedures were necessary. Only one re-hospitalization, due to driveline infection, was required. Once a month, the patient visited our heart failure outpatient clinic for laboratory control, echocardiographic examination, and device measurement. There was always a normal LVAD function. During the 10 years of follow-up, the patient did not have any other complications. Conclusions: Patients with a strict indication for LVAD and fewer risk factors can show a relatively uncomplicated postoperative course. Our case report demonstrates the opportunity to care for a patient for years using LVAD. Modern LVADs are reliable cardiac support systems as destination therapy from the long-term perspective. Careful patient selection, timely decision on LVAD implantation, and structured patient care are critical. |
| Databáze: | OpenAIRE |
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