title: Long term biventricular support with Berlin Heart Excor in a Septuagenarian with giant-cell myocarditis.
abstract: Giant-cell myocarditis (GCM) is known as a rare, rapidly progressive, and frequently fatal myocardial disease in young and middle-aged adults. We report about a 76 year old male patient who underwent implantation with a biventricular Berlin Heart Excor system at the age of 74 due to acute biventricular heart failure caused by giant-cell myocarditis. The implantation was without any surgical problems; however, a difficulty was the immunosuppressive therapy after implantation. Meanwhile the patient is 76 years old and lives with circulatory support for about 3 years without major adverse events. Also, in terms of mobility in old age there are no major limitations. It seems that in even selected elderly patients an implantation of a long term support with the biventricular Berlin Heart Excor is a useful therapeutic option with an acceptable outcome.
authors: Christian
authors: C
authors: Bireta
authors: Theodor
authors: T
authors: Tirilomis
authors: Marius
authors: M
authors: Grossmann
authors: Bernhard
authors: B
authors: Unsöld
authors: Rolf
authors: R
authors: Wachter
authors: Thorsten
authors: T
authors: Perl
authors: Ahmad Fawad
authors: AF
authors: Jebran
authors: Friedrich Albert
authors: FA
authors: Schoendube
authors: Aron Frederik
authors: AF
authors: Popov
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016572:Cyclosporine / Q000627:therapeutic use; D015199:Extracorporeal Membrane Oxygenation; D005500:Follow-Up Studies; D006333:Heart Failure / Q000209:etiology / Q000601:surgery*; D006353:Heart-Assist Devices; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008297:Male; D009205:Myocarditis / Q000150:complications*; D011239:Prednisolone / Q000627:therapeutic use; D016459:Prosthesis-Related Infections / Q000188:drug therapy; D011552:Pseudomonas Infections / Q000188:drug therapy; D012770:Shock, Cardiogenic / Q000209:etiology; D013203:Staphylococcal Infections / Q000188:drug therapy; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D007166:Immunosuppressive Agents; D016572:Cyclosporine; D011239:Prednisolone
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