Document Detail

Role of the heart surgeon in the emergency treatment of diuretic resistant edema in grades III-IV heart failure.
MedLine Citation:
PMID:  9185108     Owner:  NLM     Status:  MEDLINE    
Acute or chronic valvular diseases, acute myocardial infarction and its complications, dilated cardiomyopathies, all may became the cause of heart failure leading to different degrees of cardiogenic edema. Today cardiac failure is treated from its the early stage by medical and/or surgical therapy. Thereafter, in a small population of patients, heart failure may became unresponsive to any kind of standard medical treatment. Conventional surgical procedures are often inadequate and carry a high risk of perioperative mortality. This study analyzes the outcome of 139 patients with end-stage cardiomyopathy who underwent heart transplantation between January 1988 and October 1996. We found that patients transplanted while on severe decompensation are at a higher perioperative mortality due to irreversible multi-organ failure. The study also suggests that the implantation of a left ventricle assist device as a bridge to transplantation is a promising maneuver for the most severe patients.
F de Vivo; L S DeSanto; C Maiello; R Trunfio; C Marra; M De Feo; G Damiani; N Galdieri; M Cotrufo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Kidney international. Supplement     Volume:  59     ISSN:  0098-6577     ISO Abbreviation:  Kidney Int. Suppl.     Publication Date:  1997 Jun 
Date Detail:
Created Date:  1997-07-24     Completed Date:  1997-07-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7508622     Medline TA:  Kidney Int Suppl     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  S66-8     Citation Subset:  IM    
Department of Cardiac Surgery, Second University of Naples Hospital V. Monaldi, Italy.
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MeSH Terms
Cardiac Surgical Procedures*
Diuretics / therapeutic use*
Drug Resistance
Edema, Cardiac / drug therapy*
Heart Transplantation
Heart-Assist Devices
Middle Aged
Retrospective Studies
Reg. No./Substance:

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