Document Detail


Left ventricular assist device implantation combined with surgical ventricular reconstruction.
MedLine Citation:
PMID:  23109754     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nine months after sustaining a transmural anteroseptal myocardial infarction, a 45-year-old man presented with ischemic heart disease, severe mitral valve insufficiency, New York Heart Association functional class IV congestive heart failure, and a left ventricular aneurysm. Coronary angiography revealed 3-vessel disease. Echocardiography showed severe left ventricular impairment, pronounced thrombosis in the left ventricular apex, and low myocardial reserve. To reduce the high risk of performing left ventricular and mitral valve reconstruction concurrently with revascularization, we decided to perform ventricular reconstruction and to implant a Berlin Heart INCOR left ventricular assist device as a bridge to heart transplantation. The patient had an uncomplicated recovery, was discharged from the hospital with symptomatic improvement after 20 days, and was placed on the list for heart transplantation. We describe the patient's case, the surgical procedure, and the reasoning behind the chosen course of treatment.
Authors:
Alexander M Chernyavskiy; Andrey V Marchenko; Vladimir V Lomivorotov; Dmitriy Doronin; Sergey A Alsov; Alexey Nesmachnyy
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  39     ISSN:  1526-6702     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2012  
Date Detail:
Created Date:  2012-10-30     Completed Date:  2013-04-10     Revised Date:  2013-07-11    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  627-9     Citation Subset:  IM    
Affiliation:
Aorta and Coronary Arteries Surgery Department, Research Institute of Circulation Pathology, Novosibirsk 630055, Russia.
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MeSH Terms
Descriptor/Qualifier:
Anterior Wall Myocardial Infarction / complications*
Cardiac Surgical Procedures*
Catheterization, Swan-Ganz
Coronary Angiography
Echocardiography, Stress
Heart Aneurysm / etiology,  physiopathology,  surgery*
Heart Failure / etiology*,  physiopathology,  surgery
Heart Transplantation
Heart Ventricles / physiopathology,  surgery*
Heart-Assist Devices*
Hemodynamics
Humans
Male
Middle Aged
Mitral Valve Insufficiency / etiology,  surgery
Reconstructive Surgical Procedures*
Recovery of Function
Thrombectomy
Thrombosis / etiology,  surgery
Time Factors
Treatment Outcome
Ventricular Function, Left
Waiting Lists
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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