[Successful cardiac transplantation after 38 days of circulatory assistance with a heterotopic artificial heart].
The survival of a patient with irreversible cardiac failure on the cardiac transplantation waiting list was assured for 38 days by circulatory assistance with heterotopic Pierce Donachy prosthetic ventricles and followed by successful cardiac transplantation. This method of circulatory assistance is relatively simple to install from the technical point of view and provides a satisfactory haemodynamic result whilst waiting for a compatible donor organ. Several complications, some of them serious, were observed. Some were related to the patient's poor preoperative condition: acute renal failure, disorders of coagulation. These regressed slowly when the patient's haemodynamic status improved. On the other hand, septic problems and local haemorrhage were inherent to this technique. These are the commonest complications reported by other authors. Although the mortality rate during the period of circulatory assistance may appear to be high, this technique remains a valuable method of survival for selected patients and does not affect the chances of success of ulterior cardiac transplantation.
Lauribe
P
P
Service de chirurgie cardio-thoracique, centre Jules-Cantini, Marseille.
Benzenou
J
J
Pietri
P
P
Vaillant
A
A
el Kouby
A
A
Comet
B
B
Pansieri
M
M
Bremondy
M
M
Nazet
J
J
Malmejac
C
C
D058186:Acute Kidney Injury / Q000209:etiology; D000328:Adult; D001243:Assisted Circulation / Q000009:adverse effects / Q000379:methods*; D006333:Heart Failure; D016027:Heart Transplantation; D006354:Heart, Artificial; D006439:Hemodynamics; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007239:Infections / Q000209:etiology; D007511:Ischemia / Q000209:etiology; D007866:Leg / Q000098:blood supply; D008297:Male; D011183:Postoperative Complications
Succès d'une transplantation cardiaque après 38 jours d'assistance circulatoire par coeur artificiel en position hétérotopique.