Role of total artificial heart in the management of heart transplant rejection and retransplantation: case report and review

被引:9
|
作者
Kalya, Anantharam [1 ]
Jaroszewski, Dawn [2 ]
Pajaro, Octavio [2 ]
Scott, Robert [1 ]
Gopalan, Radha [1 ]
Kasper, Diane [2 ]
Arabia, Francisco [3 ]
机构
[1] Mayo Clin, Div Cardiovasc Med, Phoenix, AZ 85054 USA
[2] Mayo Clin, Div Cardiothorac Surg, Phoenix, AZ 85054 USA
[3] Cedars Sinai Med Ctr, Div Cardiothorac Surg, Los Angeles, CA 90048 USA
关键词
cardiac rejection; heart transplant; immunosuppression; retransplantation; total artificial heart; CARDIAC RETRANSPLANTATION; ASSIST DEVICES; EXPERIENCE;
D O I
10.1111/ctr.12146
中图分类号
R61 [外科手术学];
学科分类号
摘要
Cardiac allograft rejection and failure may require mechanical circulatory support as bridge-to-retransplantation. Prognosis in this patient group is poor and implantable ventricular assist devices have had limited success due to organ failure associated with the high dose immunosuppression required to treat ongoing rejection. We present a case from our institution and the world-wide experience utilizing the SynCardia CardioWest Total Artificial Heart (TAH-t; SynCardia Systems, Inc., Tucson, AZ, USA) for replacement of the failing graft, recovery of patient and end-organ failure with ultimate bridge to retransplantation. We present our experience and review of world-wide experience for use of TAH-t in this type patient.
引用
收藏
页码:E348 / E350
页数:3
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