Document Detail

Remission of chronic, advanced heart failure after left ventricular unloading with an implantable left ventricular assist device.
MedLine Citation:
PMID:  22740750     Owner:  NLM     Status:  MEDLINE    
We describe the case of a 35-year-old man with severe, dilated idiopathic cardiomyopathy who was placed on the waiting list for cardiac transplantation. While awaiting transplantation, his heart failure decompensated to such a degree that left ventricular assist device support was necessary. He did well on device support until a pump-pocket infection (methicillin-resistant coagulase-negative staphylococci) developed at 10 months. At that time, echocardiograms showed normal heart size and an ejection fraction of 0.45 to 0.49 without pump support. The pump was, therefore, explanted emergently. The patient has remained clinically stable with preserved ventricular function nearly 13 years after the explantation procedure.
Zumrut T Demirozu; O H Frazier
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:  2012-06-28     Completed Date:  2012-11-19     Revised Date:  2013-07-12    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  268-70     Citation Subset:  IM    
Center for Cardiac Support, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas 77030, USA.
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MeSH Terms
Cardiomyopathy, Dilated / diagnosis,  physiopathology,  surgery,  therapy*
Chronic Disease
Device Removal
Heart Failure / diagnosis,  physiopathology,  surgery,  therapy*
Heart Transplantation
Heart-Assist Devices* / adverse effects
Prosthesis Design
Prosthesis-Related Infections / microbiology,  therapy
Remission Induction
Severity of Illness Index
Staphylococcal Infections / microbiology,  therapy
Time Factors
Treatment Outcome
Ventricular Function, Left*
Waiting Lists

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