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A Successful Heart Transplantation Coupled with Temporary Right Ventricular Assist Device Implantation in a Patient with (ir)Reversible Pulmonary Hypertension

Author

Listed:
  • Agnieszka Dyla

    (Department of Cardiac Surgery, Cardiac and Lung Transplantation, Mechanical Circulatory Support, Silesian Centre for Heart Diseases, 41-800 Zabrze, Poland
    Anaesthesiology and Intensive Care Unit, District Hospital, 55-200 Olawa, Poland)

  • Wojciech Mielnicki

    (Anaesthesiology and Intensive Care Unit, District Hospital, 55-200 Olawa, Poland)

  • Jacek Waszak

    (Department of Cardiac Surgery, Cardiac and Lung Transplantation, Mechanical Circulatory Support, Silesian Centre for Heart Diseases, 41-800 Zabrze, Poland)

  • Hubert Szurmiak

    (Department of Cardiac Surgery, Cardiac and Lung Transplantation, Mechanical Circulatory Support, Silesian Centre for Heart Diseases, 41-800 Zabrze, Poland
    Anaesthesiology and Intensive Care Unit, Specialist Hospital, 38-300 Gorlice, Poland)

  • Krystian Jakimowicz

    (Department of Cardiac Surgery, Cardiac and Lung Transplantation, Mechanical Circulatory Support, Silesian Centre for Heart Diseases, 41-800 Zabrze, Poland)

  • Roch Pakuła

    (Department of Cardiac Surgery, Cardiac and Lung Transplantation, Mechanical Circulatory Support, Silesian Centre for Heart Diseases, 41-800 Zabrze, Poland)

  • Michał Oskar Zembala

    (Department of Cardiac Surgery, Cardiac and Lung Transplantation, Mechanical Circulatory Support, Silesian Centre for Heart Diseases, 41-800 Zabrze, Poland)

Abstract

Pulmonary hypertension (PH) constitutes one of the main contraindications to heart transplantation (OHT), and elevated pulmonary vascular resistance (PVR) is associated with high risk of posttransplant right heart failure (RVF). In the present case report, a patient with PH is introduced who qualified for heart lung transplantation (HLT) and underwent successful OHT with temporary right ventricle assist device (tRVAD) due to the lack of a suitable heart-lung donor. Temporary RVAD support coupled with optimal medical management may help reverse pulmonary vascular resistance, which was previously deemed as permanent in patients requiring heart transplantation.

Suggested Citation

  • Agnieszka Dyla & Wojciech Mielnicki & Jacek Waszak & Hubert Szurmiak & Krystian Jakimowicz & Roch Pakuła & Michał Oskar Zembala, 2022. "A Successful Heart Transplantation Coupled with Temporary Right Ventricular Assist Device Implantation in a Patient with (ir)Reversible Pulmonary Hypertension," IJERPH, MDPI, vol. 19(19), pages 1-5, September.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12206-:d:925856
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