HEART TRANSPLANTATION FOR FULMINANT MYOCARDITIS AFTER PROLONGED ECMO
https://doi.org/10.15825/1995-1191-2013-2-118-122
Abstract
During the last decade an increasing number of reported cases with ECMO application, was described as a «bridge» to heart transplantation (HTx). Herein we present a case with successful long-term EСMO application with further HTx in a 24 y.o patient. Three years after the atrial septal defect plasty the patient developed acute myocarditis, and was connected to ECMO. The total duration of еру observation was 24 days. After switching off – the ejection fraction was less than 20%, the 6-minute walking test was less than 150 meters, left ventricular end-diastolic dimension was 65 mm. In 28 days we successfully performed HTx according to bicaval method. The patient was discharged on the 30th day after HTx. His total hospital stay was 114 days. Conclusion: ECMO as a «bridge» to HTx can be successfully applied as a short-term circulatory support.
About the Authors
K. O. Barbukhatti
Krasnodar Regional Hospital No 1 named after Professor S.V. Ochapovsky, Department of Cardiac Surgery and Cardiology, Krasnodar (head – corresponding member of RAMSci, prof. V.A. Porkhanov), Krasnodar, Russian Federation
Department of Cardiosurgery and Cardiology (head of Chair – doct. of med. sci K.O. Barbukhatti) Kuban State Medical University (Rector – cand. of med. sci S.N. Alekseenko), Krasnodar, Russian Federation
S. A. Belash
Krasnodar Regional Hospital No 1 named after Professor S.V. Ochapovsky, Department of Cardiac Surgery and Cardiology, Krasnodar (head – corresponding member of RAMSci, prof. V.A. Porkhanov), Krasnodar, Russian Federation
I. I. Yakuba
Krasnodar Regional Hospital No 1 named after Professor S.V. Ochapovsky, Department of Cardiac Surgery and Cardiology, Krasnodar (head – corresponding member of RAMSci, prof. V.A. Porkhanov), Krasnodar, Russian Federation
G. I. Kim
Department of Cardiosurgery and Cardiology (head of Chair – doct. of med. sci K.O. Barbukhatti) Kuban State Medical University (Rector – cand. of med. sci S.N. Alekseenko), Krasnodar, Russian Federation
A. A. Skopets
Krasnodar Regional Hospital No 1 named after Professor S.V. Ochapovsky, Department of Cardiac Surgery and Cardiology, Krasnodar (head – corresponding member of RAMSci, prof. V.A. Porkhanov), Krasnodar, Russian Federation
E. S. Dumanyan
Krasnodar Regional Hospital No 1 named after Professor S.V. Ochapovsky, Department of Cardiac Surgery and Cardiology, Krasnodar (head – corresponding member of RAMSci, prof. V.A. Porkhanov), Krasnodar, Russian Federation
V. E. Rvachev
Krasnodar Regional Hospital No 1 named after Professor S.V. Ochapovsky, Department of Cardiac Surgery and Cardiology, Krasnodar (head – corresponding member of RAMSci, prof. V.A. Porkhanov), Krasnodar, Russian Federation
V. A. Porkhanov
Krasnodar Regional Hospital No 1 named after Professor S.V. Ochapovsky, Department of Cardiac Surgery and Cardiology, Krasnodar (head – corresponding member of RAMSci, prof. V.A. Porkhanov), Krasnodar, Russian Federation
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For citations:
Barbukhatti K.O., Belash S.A., Yakuba I.I., Kim G.I., Skopets A.A., Dumanyan E.S., Rvachev V.E., Porkhanov V.A. HEART TRANSPLANTATION FOR FULMINANT MYOCARDITIS AFTER PROLONGED ECMO. Russian Journal of Transplantology and Artificial Organs. 2013;15(2):118-122. (In Russ.) https://doi.org/10.15825/1995-1191-2013-2-118-122
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