Abstract
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.
Highlights
Больные с терминальной сердечной недостаточностью, рефрактерной к медикаментозной терапии, являются тяжелой категорией кардиологических больных
The possibility of effective correction of multi-organ failure and an increase in the life-time of patients with critical cardiac insufficiency has been proved with the use of biventricular assist device (BiVAD)
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
Summary
Больные с терминальной сердечной недостаточностью, рефрактерной к медикаментозной терапии, являются тяжелой категорией кардиологических больных. В настоящее время широкое распространение для лечения пациентов с тяжелой сердечной недостаточностью, рефрактерной к медикаментозной терапии, получили системы механического вспомогательного кровообращения (мост к выбору или мост к трансплантации) для разгрузки желудочков, при условии отсутствия противопоказаний к их имплантации. Но при сочетании описанных ранее нарушений с тяжелой систолической дисфункцией правого желудочка (ФИП – ПЖ
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