[High-risk pulmonary surgery in potential candidates for a heart transplant]. / Chirurgia polmonare ad alto rischio in potenziali candidati a trapianto cardiaco.
G Ital Cardiol
; 29(11): 1331-3, 1999 Nov.
Article
em It
| MEDLINE
| ID: mdl-10609136
ABSTRACT
Severe ventricular dysfunction and concomitant infection are considered absolute contraindications for major thoracic operations and immunosuppressive therapy, respectively. However, cardiac transplantation represents the first-choice treatment in advanced heart failure. We report the case of a patient with dilated cardiomyopathy and severe left ventricular dysfunction (ejection fraction = 25%), initially not considered as a potential heart transplant candidate due to the presence of a lung abscess. The patient subsequently underwent atypical pulmonary resection with intraoperative and perioperative intraaortic balloon counter-pulsation for circulatory support and was then listed for cardiac transplant. Pitfalls and intra/postoperative strategy, all of which are potentially important aspects in minimizing operative risk, are discussed.
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Base de dados:
MEDLINE
Assunto principal:
Pneumonectomia
/
Transplante de Coração
Idioma:
It
Ano de publicação:
1999
Tipo de documento:
Article