title: Triple bridge to simultaneous heart and kidney transplantation.
abstract: We report a 40-year-old man who presented with irreversible cardiogenic shock. The patient was treated with three consecutive stages of mechanical circulatory support as a triple bridge to cardiac transplantation. Extracorporeal membrane oxygenation support was used for 5 days, followed by Levitronix CentriMag biventricular assist devices for 39 days. This was escalated to implantation of the CardioWest temporary total artificial heart for 107 days. The patient experienced concurrent end-stage renal disease and subsequently underwent both heart and kidney transplantation. On postoperative day 18 the patient was discharged with good cardiac and renal function.
authors.affiliation: Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas; Department of Surgery, Zagazig University Faculty of Medicine, Zagazig, Egypt. Electronic address: elgoharymagdy@yahoo.com.
authors.forename: Magdy M
authors.initials: MM
authors.lastname: El-Sayed Ahmed
authors.affiliation: Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas; Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Aftab
authors.affiliation: Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas; Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
authors.forename: Steve K
authors.initials: SK
authors.lastname: Singh
authors.affiliation: Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas; Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
authors.forename: Hari R
authors.initials: HR
authors.lastname: Mallidi
authors.affiliation: Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas; Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
authors.forename: Oscar H
authors.initials: OH
authors.lastname: Frazier
mesh_terms: D000328:Adult; D015199:Extracorporeal Membrane Oxygenation; D016027:Heart Transplantation; D006353:Heart-Assist Devices; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000601:surgery*; D016030:Kidney Transplantation; D008297:Male; D012770:Shock, Cardiogenic / Q000150:complications / Q000601:surgery*