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.
机构:
Thomas Jefferson Univ Hosp, Sidney Kimmel Sch Med, Jefferson Heart Inst, Div Cardiol, 925 Chestnut St,Suite 200, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Sidney Kimmel Sch Med, Jefferson Heart Inst, Div Cardiol, 925 Chestnut St,Suite 200, Philadelphia, PA 19107 USA
Frankel, Eitan S.
Hajduczok, Alexander G.
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机构:
Thomas Jefferson Univ Hosp, Sidney Kimmel Sch Med, Jefferson Heart Inst, Div Cardiol, 925 Chestnut St,Suite 200, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Sidney Kimmel Sch Med, Jefferson Heart Inst, Div Cardiol, 925 Chestnut St,Suite 200, Philadelphia, PA 19107 USA
Hajduczok, Alexander G.
Rajapreyar, Indranee N.
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Thomas Jefferson Univ Hosp, Sidney Kimmel Sch Med, Jefferson Heart Inst, Div Cardiol, 925 Chestnut St,Suite 200, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Sidney Kimmel Sch Med, Jefferson Heart Inst, Div Cardiol, 925 Chestnut St,Suite 200, Philadelphia, PA 19107 USA
机构:
Virginia Commonwealth Univ, Div Cardiol, Med Ctr, Richmond, VA 23298 USAVirginia Commonwealth Univ, Div Cardiol, Med Ctr, Richmond, VA 23298 USA
Thanavaro, Kristin L.
Tang, Daniel G.
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Virginia Commonwealth Univ, Div Cardiothorac Surg, Med Ctr, Richmond, VA 23298 USAVirginia Commonwealth Univ, Div Cardiol, Med Ctr, Richmond, VA 23298 USA
Tang, Daniel G.
Kasirajan, Vigneshwar
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Virginia Commonwealth Univ, Div Cardiothorac Surg, Med Ctr, Richmond, VA 23298 USAVirginia Commonwealth Univ, Div Cardiol, Med Ctr, Richmond, VA 23298 USA
Kasirajan, Vigneshwar
Shah, Keyur B.
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机构:
Virginia Commonwealth Univ, Div Cardiol, Med Ctr, Richmond, VA 23298 USAVirginia Commonwealth Univ, Div Cardiol, Med Ctr, Richmond, VA 23298 USA
机构:
Columbia Univ, Dept Surg, Irving Med Ctr, Div Cardiothorac & Vasc Surg, New York, NY 10032 USAColumbia Univ, Dept Surg, Irving Med Ctr, Div Cardiothorac & Vasc Surg, New York, NY 10032 USA
Kaku, Yuji
Takeda, Koji
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Columbia Univ, Dept Surg, Irving Med Ctr, Div Cardiothorac & Vasc Surg, New York, NY 10032 USAColumbia Univ, Dept Surg, Irving Med Ctr, Div Cardiothorac & Vasc Surg, New York, NY 10032 USA
Takeda, Koji
Naka, Yoshifumi
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Columbia Univ, Dept Surg, Irving Med Ctr, Div Cardiothorac & Vasc Surg, New York, NY 10032 USAColumbia Univ, Dept Surg, Irving Med Ctr, Div Cardiothorac & Vasc Surg, New York, NY 10032 USA