HEART TRANSPLANTATION FOR FULMINANT MYOCARDITIS AFTER PROLONGED ECMO
| Autor: | K. O. Barbukhatti, S. A. Belash, I. I. Yakuba, G. I. Kim, A. A. Skopets, E. S. Dumanyan, V. E. Rvachev, V. A. Porkhanov |
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| Rok vydání: | 2014 |
| Předmět: |
Heart transplantation
Transplantation medicine.medical_specialty Myocarditis Ejection fraction RD1-811 business.industry Walking test medicine.medical_treatment extracorporeal membrane oxygenation heart transplantation medicine.disease Surgery Acute myocarditis Internal medicine medicine Extracorporeal membrane oxygenation Cardiology Immunology and Allergy myocarditis business Hospital stay |
| Zdroj: | Vestnik Transplantologii i Iskusstvennyh Organov, Vol 15, Iss 2, Pp 118-122 (2013) |
| ISSN: | 1995-1191 |
| DOI: | 10.15825/1995-1191-2013-2-118-122 |
| Popis: | During the last decade an increasing number of reported cases with ECMO application, was described as a «bridge» to heart transplantation (HTx). Herein we present a case with successful long-term E С MO application with further HTx in a 24 y.o patient. Three years after the atrial septal defect plasty the patient developed acute myocarditis, and was connected to ECMO. The total duration of еру observation was 24 days. After switching off – the ejection fraction was less than 20%, the 6-minute walking test was less than 150 meters, left ventricular end-diastolic dimension was 65 mm. In 28 days we successfully performed HTx according to bicaval method. The patient was discharged on the 30 th day after HTx. His total hospital stay was 114 days. Conclusion: ECMO as a «bridge» to HTx can be successfully applied as a short-term circulatory support. |
| Databáze: | OpenAIRE |
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