Resolution of sleep-disordered breathing with a biventricular assist device and recurrence after heart transplantation.
Sleep-disordered breathing (SDB) is common in chronic heart failure. Both obstructive sleep apnea syndrome (OSAS) and central sleep apnea with periodic Cheyne-Stokes respiration (CSA-CSR) can occur. CSA-CSR is believed to correlate with heart function. Little information exists about the impact of mechanical assist devices and heart transplantation on SDB in patients with end-stage heart failure. Here, we describe, for the first time, the effects on SDB of a biventricular external assist device and of heart transplantation used successively in the same patient.
Vermes
Emmanuelle
E
AP-HP Groupe Henri Mondor Albert Chenevier, Service de Chirurgie Cardiaque, Créteil, France. emmanuelle.vermes@hmn.aphp.fr
Fonkoua
Hortense
H
Kirsch
Matthias
M
Damy
Thibaud
T
Margarit
Laurent
L
Hillion
Marie-Line
ML
Hittinger
Luc
L
d'Ortho
Marie-Pia
MP
D006333:Heart Failure / Q000150:complications / Q000601:surgery; D016027:Heart Transplantation / Q000009:adverse effects*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged; D010092:Oximetry; D017286:Polysomnography; D012008:Recurrence; D012891:Sleep Apnea Syndromes / Q000209:etiology* / Q000628:therapy*