Severe ventricular dysfunction and concomitant infection are considered absolute contraindications for major thoracic operations and immunosuppressive therapy, respectively. However, cardiac transplantation represents the first-choice treatment in advanced heart failure. We report the case of a patient with dilated cardiomyopathy and severe left ventricular dysfunction (ejection fraction = 25%), initially not considered as a potential heart transplant candidate due to the presence of a lung abscess. The patient subsequently underwent atypical pulmonary resection with intraoperative and perioperative intraaortic balloon counter-pulsation for circulatory support and was then listed for cardiac transplant. Pitfalls and intra/postoperative strategy, all of which are potentially important aspects in minimizing operative risk, are discussed.
Chirurgia polmonare ad alto rischio in potenziali candidati a trapianto cardiaco=High-risk pulmonary surgery in potential candidates for a heart transplant / F. Donatelli, M. Pocar, G. Marchetto, A. Moneta, E. Villa, A. Grossi. - In: GIORNALE ITALIANO DI CARDIOLOGIA. - ISSN 0046-5968. - 29:11(1999 Nov), pp. 1331-1333.
Chirurgia polmonare ad alto rischio in potenziali candidati a trapianto cardiaco=High-risk pulmonary surgery in potential candidates for a heart transplant
F. DonatelliPrimo
;M. PocarSecondo
;G. Marchetto;E. VillaPenultimo
;A. GrossiUltimo
1999
Abstract
Severe ventricular dysfunction and concomitant infection are considered absolute contraindications for major thoracic operations and immunosuppressive therapy, respectively. However, cardiac transplantation represents the first-choice treatment in advanced heart failure. We report the case of a patient with dilated cardiomyopathy and severe left ventricular dysfunction (ejection fraction = 25%), initially not considered as a potential heart transplant candidate due to the presence of a lung abscess. The patient subsequently underwent atypical pulmonary resection with intraoperative and perioperative intraaortic balloon counter-pulsation for circulatory support and was then listed for cardiac transplant. Pitfalls and intra/postoperative strategy, all of which are potentially important aspects in minimizing operative risk, are discussed.File | Dimensione | Formato | |
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1999 GIC LungHTX.pdf
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