"The Current Management of End-Stage Heart Failure: Two Case Reports"

Introduction. L'insuffisance cardiaque est un syndrome clinique caus par des anomalies cardiaques structurelles et/ou fonctionnelles, entranant un dbit cardiaque rduit et/ou des pressions intracardiaques leves au repos ou pendant le stress. Il s'agit d'une maladie volutive avec un risque lev de dcs dans les 6 12 premiers mois suivant le diagnostic d'insuffisance cardiaque en phase terminale. Prsentation des cas. Nous prsentons l'implantation russie d'un dispositif d'assistance ventriculaire gauche HEART MATE III chez un homme de 54 ans atteint de cardiomyopathie ischmique et d'insuffisance cardiaque en phase terminale, et une transplantation cardiaque chez un homme de 31 ans atteint ABSTRACT Introduction. Heart failure (HF) is a clinical syndrome caused by structural and/or functional cardiac abnormalities, resulting in a reduced cardiac output and/or elevated intracardiac pressures at rest or during stress. It is a progressive disease with a high risk of death in the first 6-12 months after the diagnosis of end stage HF. Cases presentation. We present the successful implantation of a left-ventricular assist device (LVAD) HEART MATE III in a 54-year-old male with ischemic cardiomyopathy and end stage HF, and a heart transplant in a 31-year-old male with non-ischemic dilated cardiomyopathy and end stage HF. Both procedures were guided by experienced surgeons and the overall management was according to the current standardised protocol.