Recovery From Anthracycline Cardiomyopathy After Long-term Support With a Continuous Flow Left Ventricular Assist Device

被引:26
作者
Freilich, Mark [2 ]
Stub, Dion [2 ]
Esmore, Donald [1 ]
Negri, Justin [1 ]
Salamonsen, Robert [3 ]
Bergin, Peter [2 ]
Leet, Angeline [2 ]
Richardson, Meroula [2 ]
Taylor, Andrew [2 ]
Woodard, John [4 ]
Kaye, David [2 ]
Rosenfeldt, Franklin [1 ]
机构
[1] Alfred Hosp, Dept Cardiothorac Surg, Prahran, Vic 3181, Australia
[2] Alfred Hosp, Dept Cardiol, Prahran, Vic 3181, Australia
[3] Alfred Hosp, Dept Cardiol, Intens Care Unit, Prahran, Vic 3181, Australia
[4] Ventracor Pty Ltd, Chatswood, NSW, Australia
关键词
CIRCULATORY SUPPORT;
D O I
10.1016/j.healun.2008.10.002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report the clinical course of a 16-year-old girl in remission from non-Hodgkin's lymphoma who presented in cardiogenic shock due to a severe anthracycline cardiomyopathy. The patient was initially stabilized using central extracorporeal membrane oxygenation support, followed by conversion to a left ventricular assist device. Unexpected evidence of cardiac recovery 9 months after implant enabled device weaning during a 3-month period, culminating in successful device explantation I year after implant. The patient survives 18 months after explant in New York Heart Association class 1, on conventional heart failure medical management and metabolic therapy. J Heart Lung Transplant 2009;28:101-3. (C) 2009 Published by Elsevier Inc. on behalf of the International Society for Heart and Lung Transplantation.
引用
收藏
页码:101 / 103
页数:3
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