Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
1990-3-7
pubmed:abstractText
Early graft failure represents a serious complication after orthotopic heart transplantation. Various modes of extracorporeal mechanical circulatory assistance, however, allow for "bridging" to heart retransplantation in these instances. We report a case of bridging to heart transplantation by means of intraaortic balloon counterpulsation. After transplantation a right ventricular assist device was required because of early graft failure while the intraaortic balloon pump was left in place. A retransplantation was successful, and 13 months after the operation the patient is in New York Heart Association functional class I. The cause of early graft failure, especially the tendency toward failure of the right ventricle, is not well understood and seems to be multifactorial, which suggests that an elevated pulmonary vascular resistance in the recipient possibly represents a considerable risk factor. Bridging to heart retransplantation with the use of extracorporeal blood pumps can be performed effectively.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0887-2570
pubmed:author
pubmed:issnType
Print
pubmed:volume
8
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
474-8
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:articleTitle
Early graft failure after heart transplantation: management by extracorporeal circulatory assist and retransplantation.
pubmed:affiliation
Department of Thoracic and Cardiovascular Surgery, Hannover Medical School, Federal Republic of Germany.
pubmed:publicationType
Journal Article, Case Reports