Successful treatment of acute allograft failure using pneumatic biventricular assistance.
A 61-year-old man underwent orthotopic heart transplantation complicated by acute allograft failure. Management entailed placement of two ventricular assist devices, and there was subsequent hemodynamic stabilization. Ventricular assistance continued for 8 days, at which time graft recovery resulted in successful explanation of the devices. Subsequent recovery was uneventful, and the patient was discharged on the 28th postoperative day. Methods of optimizing interoperative device cardiac output and synchronous-mode weaning are discussed.
Ott
R A
RA
Department of Surgery, California College of Medicine, University of California, Irvine Medical Center, Orange 92668.
Mills
T
T
Allen
B
B
Eugene
J
J
Gazzaniga
A
A
D002311:Cardiomyopathy, Dilated / Q000601:surgery; D004562:Electrocardiography; D006333:Heart Failure / Q000628:therapy*; D016027:Heart Transplantation / Q000502:physiology*; D006353:Heart-Assist Devices; D006801:Humans; D007165:Immunosuppression Therapy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy