Primer puente a trasplante cardiaco exitoso en Chile usando el dispositivo Heart Mate II

Implantable ventricular assist devices are an effective treatment option for end-stage heart failure patients as a bridge to cardiac transplantation, to improve the clinical condition and organ function allowing discharge from the hospital to await for transplantation. The second alternative is to u...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Bunster,Nicolás, Villavicencio,Mauricio, Lim,Jongsung, Donoso,Erika, Gajardo,Francesca, Rossel,Víctor
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2014
Materias:	Chile Heart assist devices Heart transplantation
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000400016
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872014000400016
record_format	dspace
spelling	oai:scielo:S0034-988720140004000162014-09-02Primer puente a trasplante cardiaco exitoso en Chile usando el dispositivo Heart Mate IIBunster,NicolásVillavicencio,MauricioLim,JongsungDonoso,ErikaGajardo,FrancescaRossel,Víctor Chile Heart assist devices Heart transplantation Implantable ventricular assist devices are an effective treatment option for end-stage heart failure patients as a bridge to cardiac transplantation, to improve the clinical condition and organ function allowing discharge from the hospital to await for transplantation. The second alternative is to use the device as destination therapy for patients with contraindications for cardiac transplantation, in whom it is maintained indefinitely. We report a 43-year-old patient, with a dilated cardiomyopathy, severe left ventricular dysfunction and advanced heart failure. A ventricular assist device Heart Mate II©, as a bridge to transplantation, was implanted to the patient in the United States. It was explanted for the first time in Chile at the National Thorax Institute. Heart transplantation was performed using the bicaval technique. Induction of immunosuppression was done with basiliximab. Generic immunosuppression was carried out with cyclosporine, mycophenolate mofetil and prednisone. Postoperatively the patient evolved with right femoral vein thrombosis in the femoral cannulation site, phlegmasia alba dolens, rhabdomyolysis, oliguric acute renal failure, which required renal replacement therapy, severe shock, with high requirements of vasoactive drugs and need for mechanical ventilation. He required a reoperation for hemothorax and had an Enterobacter pneumonia. After a period of serious illness, he began a gradual recovery and was discharged from the hospital after 58 days. After two years, he remains in functional class I, with a normal graft function.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.142 n.4 20142014-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000400016es10.4067/S0034-98872014000400016
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Chile Heart assist devices Heart transplantation
spellingShingle	Chile Heart assist devices Heart transplantation Bunster,Nicolás Villavicencio,Mauricio Lim,Jongsung Donoso,Erika Gajardo,Francesca Rossel,Víctor Primer puente a trasplante cardiaco exitoso en Chile usando el dispositivo Heart Mate II
description	Implantable ventricular assist devices are an effective treatment option for end-stage heart failure patients as a bridge to cardiac transplantation, to improve the clinical condition and organ function allowing discharge from the hospital to await for transplantation. The second alternative is to use the device as destination therapy for patients with contraindications for cardiac transplantation, in whom it is maintained indefinitely. We report a 43-year-old patient, with a dilated cardiomyopathy, severe left ventricular dysfunction and advanced heart failure. A ventricular assist device Heart Mate II©, as a bridge to transplantation, was implanted to the patient in the United States. It was explanted for the first time in Chile at the National Thorax Institute. Heart transplantation was performed using the bicaval technique. Induction of immunosuppression was done with basiliximab. Generic immunosuppression was carried out with cyclosporine, mycophenolate mofetil and prednisone. Postoperatively the patient evolved with right femoral vein thrombosis in the femoral cannulation site, phlegmasia alba dolens, rhabdomyolysis, oliguric acute renal failure, which required renal replacement therapy, severe shock, with high requirements of vasoactive drugs and need for mechanical ventilation. He required a reoperation for hemothorax and had an Enterobacter pneumonia. After a period of serious illness, he began a gradual recovery and was discharged from the hospital after 58 days. After two years, he remains in functional class I, with a normal graft function.
author	Bunster,Nicolás Villavicencio,Mauricio Lim,Jongsung Donoso,Erika Gajardo,Francesca Rossel,Víctor
author_facet	Bunster,Nicolás Villavicencio,Mauricio Lim,Jongsung Donoso,Erika Gajardo,Francesca Rossel,Víctor
author_sort	Bunster,Nicolás
title	Primer puente a trasplante cardiaco exitoso en Chile usando el dispositivo Heart Mate II
title_short	Primer puente a trasplante cardiaco exitoso en Chile usando el dispositivo Heart Mate II
title_full	Primer puente a trasplante cardiaco exitoso en Chile usando el dispositivo Heart Mate II
title_fullStr	Primer puente a trasplante cardiaco exitoso en Chile usando el dispositivo Heart Mate II
title_full_unstemmed	Primer puente a trasplante cardiaco exitoso en Chile usando el dispositivo Heart Mate II
title_sort	primer puente a trasplante cardiaco exitoso en chile usando el dispositivo heart mate ii
publisher	Sociedad Médica de Santiago
publishDate	2014
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000400016
work_keys_str_mv	AT bunsternicolas primerpuenteatrasplantecardiacoexitosoenchileusandoeldispositivoheartmateii AT villavicenciomauricio primerpuenteatrasplantecardiacoexitosoenchileusandoeldispositivoheartmateii AT limjongsung primerpuenteatrasplantecardiacoexitosoenchileusandoeldispositivoheartmateii AT donosoerika primerpuenteatrasplantecardiacoexitosoenchileusandoeldispositivoheartmateii AT gajardofrancesca primerpuenteatrasplantecardiacoexitosoenchileusandoeldispositivoheartmateii AT rosselvictor primerpuenteatrasplantecardiacoexitosoenchileusandoeldispositivoheartmateii
_version_	1718436750660993024

Primer puente a trasplante cardiaco exitoso en Chile usando el dispositivo Heart Mate II

Ejemplares similares