| Clinical total artificial heart bridging: Viennese strategy and experiences. | |
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MedLine Citation:
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PMID: 2803059 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Worldwide the clinical use of total artificial hearts (TAH) for bridging the time until heart transplantation (HTX) has become part of HTX programs. At our clinic, TAH bridging has been performed in five deteriorating HTX candidates since 1986. Four patients suffered from dilative CMP and one patient from a large anterior wall infarction. Three times the ellipsoid heart and twice the Berlin TAH were implanted. After TAH implantation, the conditions of all patients improved. The accompanying dysfunctions of kidneys and other vital organs, which were due to cardiogenic shock, could be restored in the three patients who underwent subsequent HTX. Bridging periods lasted from 9 to 13 days. Two patients, however, could not be transplanted because of infection. Although three patients could be bridged until transplantation and were in good clinical conditions, the longest survival following two-stage HTX was 40 days. In the future, complications like infection, bleeding, and transplant rejection have to be prevented to improve the long-term results of Viennese TAH bridging. |
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Authors:
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W Trubel; H Schima; A Rokitansky; M R Müller; U Losert; E Wolner |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Artificial organs Volume: 13 ISSN: 0160-564X ISO Abbreviation: Artif Organs Publication Date: 1989 Oct |
Date Detail:
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Created Date: 1989-11-14 Completed Date: 1989-11-14 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7802778 Medline TA: Artif Organs Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 470-5 Citation Subset: IM |
Affiliation:
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Second Department of Surgery, University of Vienna, Austria. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Austria Bacterial Infections / etiology Graft Rejection Heart Diseases / surgery* Heart Transplantation* Heart, Artificial* Hemorrhage / etiology Humans Male Middle Aged Postoperative Complications / etiology* Time Factors |
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