Interv Akut Kardiol. 2004;3(2):86-88

MECHANICAL CARDIAC SUPPORT - THE FIRST USE IN CZECH REPUBLIC

Jiří Kettner1, Jan Pirk1, Ivan Netuka1, Jiří Malý1, Jaroslav Mašín1, Aleš Březina2
1 Klinika kardiologie, Institut klinické a experimentální medicíny, Praha
2 Klinika anesteziologie a resuscitace, IKEM, Praha

The authors present the first implantation of biventricular assist device in Czech republic in a 58-year old men with end stage heart failure and multiple organ failure despite maximum medical therapy. During a week after placement was observed recovery of organ function and after 29 days the patient underwent successful orthotopic heart transplantation. Despite number complications (bleeding, infection, stroke) was achieved satisfactory graft and organ functions and after special rehabilitation support is patient in this time in home care.

Keywords: end stage heart failure, mechanical assist device, heart transplantation.

Published: December 31, 2004  Show citation

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Kettner J, Pirk J, Netuka I, Malý J, Mašín J, Březina A. MECHANICAL CARDIAC SUPPORT - THE FIRST USE IN CZECH REPUBLIC. Interv Akut Kardiol. 2004;3(2):86-88.

Autoři ve své kazuistice popisují první implantaci mechanické biventrikulární podpory srdce v České republice. Příjemcem byl 58letý muž v terminálním stadiu srdečního selhávání v důsledku kardiomyopatie a s počínajícím orgánovým selháváním při maximální medikamentózní léčbě. Po implantaci mechanické podpory došlo postupně k úpravě orgánových funkcí a po 29 dnech byla provedena úspěšná ortotopická transplantace srdce. I přes řadu pooperačních komplikací (krvácení, infekce, cévní mozková příhoda) došlo při normální funkci srdečního štěpu k úpravě orgánových funkcí, nemocný podstoupil speciální rehabilitační pobyty a v současné době je v domácím ošetřování.

MECHANICAL CARDIAC SUPPORT - THE FIRST USE IN CZECH REPUBLIC

The authors present the first implantation of biventricular assist device in Czech republic in a 58-year old men with end stage heart failure and multiple organ failure despite maximum medical therapy. During a week after placement was observed recovery of organ function and after 29 days the patient underwent successful orthotopic heart transplantation. Despite number complications (bleeding, infection, stroke) was achieved satisfactory graft and organ functions and after special rehabilitation support is patient in this time in home care.

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References

  1. Kettner J. Mechanické podpory krevního oběhu. Cor Vasa 2003; 45(9): 437-443.
  2. Mechanical Cardiac Support 2000: Current applications and future trial design - 1. 2. Consensus Conference Report; June 15-16, 2000; Bethesda, Maryland.
  3. El-Banayosy A, Korfer R, Arusoglu L, et al. Device and Patient Management in a Bridge-to-Transplant Setting. AnnThoracSurg 2001; 71: S98-102. Go to original source... Go to PubMed...
  4. Korfer R., El-Banayosy A, Arusoglu L, et al. Single-center experience with the Thoratec ventricular assist device. J Thorac Cardiovasc Surg 2000; 119: 596-600. Go to original source... Go to PubMed...




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