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- Title
CPR, ECLS, BVAD and successful heart transplantation within 2 months: a single-centre case series in two young, high-urgency listed patients.
- Authors
Schmidt, Anna K.; Saeed, Diyar; Mehdiani, Arash; Sowinski, Bozena; Westenfeld, Ralf; Akhyari, Payam; Lichtenberg, Artur; Boeken, Udo
- Abstract
<bold>Introduction: </bold>In times of organ shortage, death while on the heart waiting-list still represents a major problem. As a consequence, bridging to transplant as well as the decision when to escalate therapy play a very important role.<bold>Methods and Results: </bold>We report on two young patients with dilated cardiomyopathy and acute decompensation who were successfully bridged to heart transplantation with both left and temporary right ventricular assist devices in just 2 months.<bold>Conclusions: </bold>As a permanent biventricular assist device (BVAD) would have definitely impaired the patients' outcome after HTX, we decided to implant an LVAD with a temporary RVAD. In our opinion, this represents a suitable strategy to reduce mortality in HU-listed patients with acute deterioration of cardiac pump function and should be further evaluated in future studies.
- Subjects
CARDIOPULMONARY resuscitation; EXTRACORPOREAL membrane oxygenation; HEART transplantation; TIME; HEART assist devices; DILATED cardiomyopathy; THERAPEUTICS
- Publication
International Journal of Artificial Organs, 2017, Vol 40, Issue 11, p647
- ISSN
0391-3988
- Publication type
journal article
- DOI
10.5301/ijao.5000624