vtioВестник трансплантологии и искусственных органовRussian Journal of Transplantology and Artificial Organs1995-1191Academician V.I.Shumakov National Medical Research Center of Transplantology and Artificial Organs", Ministry of Health of the Russian Federation10.15825/1995-1191-2018-2-69-73vtio-884Research ArticleКлинические наблюденияClinical CasesПРИМЕНЕНИЕ БИВЕНТРИКУЛЯРНОГО УСТРОЙСТВА ВСПОМОГАТЕЛЬНОГО КРОВООБРАЩЕНИЯ «BERLIN HEART EXCOR» В КАЧЕСТВЕ МОСТА К ТРАНСПЛАНТАЦИИ СЕРДЦА ПАЦИЕНТУ С ДИЛАТАЦИОННОЙ КАРДИОМИОПАТИЕЙA CASE OF THE «BERLIN HEART EXCOR» BIVENTRICULAR ASSIST DEVICE IMPLANTATION AS A BRIDGE TO HEART TRANSPLANTATION FOR A PATIENT WITH DILATED CARDIOMYOPATHY AND TERMINAL HEART FAILUREХванД. С.KhvanD. S.

630055, Новосибирск, ул. Речкуновская, д. 15.

15, Rechkunovskaya Str., Novosibirsk, 630055.

dmhvan@mail.ruЧернявскийА. М.ChernyavskyA. M.ЭфендиевВ. У.EfendievV. U.СиротаД. А.SirotaD. A.ДоронинД. В.DoroninD. V.ФомичевА. В.FomichevA. V.ГалстянМ. Г.GalstyanM. G.ЖульковМ. О.ZhulkovM. O.Центр хирургии аорты, коронарных и периферических артерий, ФГБУ «НМИЦ им. ак. Е.Н. Мешалкина» Минздрава России.РоссияCentre for Surgery of the Aorta, Coronary and Peripheral Arteries, Meshalkin National Medical Research Center, Ministry of Health of Russian Federation.Russian Federation2018270620182026973Copyright © Хван Д.С., Чернявский А.М., Эфендиев В.У., Сирота Д.А., Доронин Д.В., Фомичев А.В., Галстян М.Г., Жульков М.О., 20182018Хван Д.С., Чернявский А.М., Эфендиев В.У., Сирота Д.А., Доронин Д.В., Фомичев А.В., Галстян М.Г., Жульков М.О.Khvan D.S., Chernyavsky A.M., Efendiev V.U., Sirota D.A., Doronin D.V., Fomichev A.V., Galstyan M.G., Zhulkov M.O.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.transpl.ru/vtio/article/view/884

Больные с терминальной сердечной недостаточностью, рефрактерной к медикаментозной терапии, являются тяжелой категорией кардиологических больных. Доказана возможность эффективной коррекции полиорганной недостаточности и увеличение продолжительности жизни пациентов с критической сердечной недостаточностью при использовании устройств вспомогательного кровообращения. В данном сообщении мы приводим случай имплантации бивентрикулярного вспомогательного устройства кровообращения «Berlin Heart EXCOR» в качестве моста к ортотопической трансплантации сердца пациенту с дилатационной кардиомиопатией, критической сердечной недостаточностью и высокой степенью риска фатальных осложнений. Несмотря на тяжелый, длительный послеоперационный период после имплантации устройства «Berlin Heart EXCOR», протекавший с явлениями обратимой полиорганной, сердечной недостаточности, дисфункции насосов бивентрикулярной экстракорпоральной системы, удалось достигнуть стабилизации состояния больного, регресса явлений сердечной недостаточности и через 9 месяцев выполнить ортотопическую трансплантацию сердца с хорошим отдаленным результатом.

Patients with terminal heart failure, refractory to drug therapy, are severe category of cardiology. The possibility of effective correction of multi-organ failure and an increase in the life-time of patients with critical cardiac insuffi ciency has been proved with the use of biventricular assist device (BiVAD). In this report, we present the case of implantation of the BiVAD «Berlin Heart EXCOR» as a bridge to orthotopic cardiac transplantation to a patient with dilated cardiomyopathy, critical heart failure and a high risk of fatal complications. Despite the complex, long postoperative period after the implantation of «Berlin Heart EXCOR», proceeded with reversible multiorgan and heart failure, dysfunction of BiVAD pumps, it was achieved patient’s recovery, regress of heart failure phenomena and orthotopic heart transplantation was performed after 9 months with a good long-term result.

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The authors declare that there are no conflicts of interest present.