Key result
Berlin Heart EXCOR BiVAD successfully bridges terminal dilated cardiomyopathy to heart transplantation after 9 months.
Why the study?
Patients with terminal heart failure refractory to drug therapy represent a severe clinical challenge, and biventricular assist devices can correct multi-organ failure and extend survival as a bridge to heart transplantation.
Case Report (n=1)
Answers are grounded in this paper and cite their sources.
Case report demonstrates successful bridge to heart transplantation with a biventricular assist device in terminal heart failure, indicating viability despite severe multiorgan complications.
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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Сергеевич et al. (2018) conducted a case report in Dilated cardiomyopathy and terminal heart failure (n=1). Berlin Heart EXCOR biventricular assist device (BiVAD) implantation was evaluated on Bridge to orthotopic heart transplantation and recovery from heart failure. Berlin Heart EXCOR BiVAD implantation enabled recovery and successful orthotopic heart transplantation after 9 months in 1 patient with dilated cardiomyopathy and terminal heart failure.
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