Triple bridge of mechanical circulatory support to heart transplantation listing: A case report
| Autor: | Erol V. Belli, Magdy M. El-Sayed Ahmed, Ian A. Makey, Si M. Pham, Mathew Thomas, Kevin Landolfo, Samuel Jacob |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Case Report 030204 cardiovascular system & hematology heart transplantation Impella Coronary artery disease HeartWare ventricular assist device 03 medical and health sciences 0302 clinical medicine Mechanical circulatory support Internal medicine Extracorporeal membrane oxygenation medicine Renal replacement therapy Heart transplantation lcsh:R5-920 business.industry Cardiogenic shock General Medicine extracorporeal membrane oxygenation medicine.disease 030228 respiratory system triple bridge Ventricular assist device Circulatory system Cardiology business lcsh:Medicine (General) |
| Zdroj: | SAGE Open Medical Case Reports, Vol 7 (2019) SAGE Open Medical Case Reports |
| Popis: | A 60-year-old male patient presented to an outside hospital with severe cardiogenic shock. A triple bridge of mechanical circulatory support was utilized to transition him to heart transplantation listing. Initially, coronary artery disease was percutaneously treated and Impella 2.5 was used as mechanical circulatory support for 5 days followed by the second Impella 2.5 for 4 days. Veno-arterial extracorporeal membrane oxygenation support was deployed for 16 days. This was exchanged for HeartWare ventricular assist device support as the third stage of mechanical circulatory support to heart transplantation listing. The patient experienced acute renal failure which was managed by continuous renal replacement therapy then intermittent hemodialysis with eventual complete recovery of the renal function. He was discharged home 56 days after HeartWare ventricular assist device implantation with stable hemodynamic, intact neurologic status and fully recovered renal function. Currently, the patient is listed for heart transplantation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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