Partial Left Ventriculectomy as a Bridge to Cardiac Transplantation in a Patient of End-Stage Heart Failure: Case Report / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 672-674, 2002.
Article
em Ko
| WPRIM
| ID: wpr-207042
Biblioteca responsável:
WPRO
ABSTRACT
A 40-years-old male with dilated cardiomyopathy(DCMP) and end-stage heart failure had undergone partial left ventriculectomy(PLV) in July 1997 and then underwent cardiac transplantation in January 1999. Three months later he showed increased ejection fraction (EF) from 26% to 42.6%, decreased left ventricular end diastolic diameter(LVEDD) from 71mm to 45mm, cardiac output(CO) 3.95 L/min and cardiac index(CI) 2.28 L/min/m2 echocardiographically. Eight months later, left ventriclular end diastolic and systolic diameters increased to 56 and 51 mm respectively and EF decreased to 17% in echocardiographic follow-up. He had been on maximum medication until he underwent cardiac transplantation 18 months after the PLV. Consecutive myocardial biopsies (1, 3 and 6 month later) showed ISHLT (international society of heart and lung transplantation) class 1a and the treatment for rejection was not needed until now on. We report a partial left ventriculectomy as a successful bridge to cardiac transplantation in a patient with DCMP and end-stage heart failure.
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Texto completo:
1
Índice:
WPRIM
Assunto principal:
Biópsia
/
Ecocardiografia
/
Cardiomiopatia Dilatada
/
Seguimentos
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Transplante de Coração
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Desoxicitidina Monofosfato
/
Coração
/
Insuficiência Cardíaca
/
Pulmão
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Humans
/
Male
Idioma:
Ko
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Ano de publicação:
2002
Tipo de documento:
Article