Single-stage Extensive Chronic Type A Dissecting Aortic Aneurysm Repair and Continuous-flow Ventricular Assist Device Implantation
The surgical technique of simultaneous heart transplantation and aortic aneurysm repair has been reported previously. However, there is a subgroup of patients with end-stage cardiomyopathy requiring major aortic surgery who do not meet heart transplant criteria. The optimal treatment strategy for th...
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| Veröffentlicht in: | The Journal of heart and lung transplantation 2009-05, Vol.28 (5), p.523-526 |
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| container_title | The Journal of heart and lung transplantation |
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| creator | Netuka, Ivan, MD Maly, Jiri, MD Szarszoi, Ondrej, MD Skalsky, Ivo, MD Riha, Hynek, MD Kotulak, Tomas, MD Novotny, Jiri, MD Hulman, Michal, MD Pirk, Jan, MD |
| description | The surgical technique of simultaneous heart transplantation and aortic aneurysm repair has been reported previously. However, there is a subgroup of patients with end-stage cardiomyopathy requiring major aortic surgery who do not meet heart transplant criteria. The optimal treatment strategy for these patients is still to be defined. In this report, we describe the use of an implantable continuous-flow left ventricular assist device (LVAD) as an adjunct to extensive aortic repair for providing patients with an acceptable risk surgical alternative to palliative treatment. To the best of our knowledge, this is the first report of this approach in the published literature. |
| doi_str_mv | 10.1016/j.healun.2009.02.006 |
| format | Article |
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However, there is a subgroup of patients with end-stage cardiomyopathy requiring major aortic surgery who do not meet heart transplant criteria. The optimal treatment strategy for these patients is still to be defined. In this report, we describe the use of an implantable continuous-flow left ventricular assist device (LVAD) as an adjunct to extensive aortic repair for providing patients with an acceptable risk surgical alternative to palliative treatment. To the best of our knowledge, this is the first report of this approach in the published literature.</description><identifier>ISSN: 1053-2498</identifier><identifier>EISSN: 1557-3117</identifier><identifier>DOI: 10.1016/j.healun.2009.02.006</identifier><identifier>PMID: 19416786</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Anastomosis, Surgical - methods ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Aneurysm, Dissecting - surgery ; Aortic Aneurysm, Thoracic - diagnosis ; Aortic Aneurysm, Thoracic - surgery ; Aortography ; Biological and medical sciences ; Blood Vessel Prosthesis Implantation - methods ; Cardiology. Vascular system ; Combined Modality Therapy ; Drug Combinations ; Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care ; Follow-Up Studies ; Formaldehyde - therapeutic use ; Gelatin - therapeutic use ; Heart Failure - diagnosis ; Heart Failure - surgery ; Heart-Assist Devices ; Humans ; Image Processing, Computer-Assisted ; Imaging, Three-Dimensional ; Intensive care medicine ; Male ; Medical sciences ; Middle Aged ; Postoperative Hemorrhage - surgery ; Reoperation ; Resorcinols - therapeutic use ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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However, there is a subgroup of patients with end-stage cardiomyopathy requiring major aortic surgery who do not meet heart transplant criteria. The optimal treatment strategy for these patients is still to be defined. In this report, we describe the use of an implantable continuous-flow left ventricular assist device (LVAD) as an adjunct to extensive aortic repair for providing patients with an acceptable risk surgical alternative to palliative treatment. To the best of our knowledge, this is the first report of this approach in the published literature.</description><subject>Anastomosis, Surgical - methods</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Aneurysm, Dissecting - surgery</subject><subject>Aortic Aneurysm, Thoracic - diagnosis</subject><subject>Aortic Aneurysm, Thoracic - surgery</subject><subject>Aortography</subject><subject>Biological and medical sciences</subject><subject>Blood Vessel Prosthesis Implantation - methods</subject><subject>Cardiology. Vascular system</subject><subject>Combined Modality Therapy</subject><subject>Drug Combinations</subject><subject>Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care</subject><subject>Follow-Up Studies</subject><subject>Formaldehyde - therapeutic use</subject><subject>Gelatin - therapeutic use</subject><subject>Heart Failure - diagnosis</subject><subject>Heart Failure - surgery</subject><subject>Heart-Assist Devices</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted</subject><subject>Imaging, Three-Dimensional</subject><subject>Intensive care medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Postoperative Hemorrhage - surgery</subject><subject>Reoperation</subject><subject>Resorcinols - therapeutic use</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Aneurysm, Dissecting - surgery</topic><topic>Aortic Aneurysm, Thoracic - diagnosis</topic><topic>Aortic Aneurysm, Thoracic - surgery</topic><topic>Aortography</topic><topic>Biological and medical sciences</topic><topic>Blood Vessel Prosthesis Implantation - methods</topic><topic>Cardiology. Vascular system</topic><topic>Combined Modality Therapy</topic><topic>Drug Combinations</topic><topic>Emergency and intensive cardiocirculatory care. Cardiogenic shock. 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| ispartof | The Journal of heart and lung transplantation, 2009-05, Vol.28 (5), p.523-526 |
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| subjects | Anastomosis, Surgical - methods Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Aneurysm, Dissecting - surgery Aortic Aneurysm, Thoracic - diagnosis Aortic Aneurysm, Thoracic - surgery Aortography Biological and medical sciences Blood Vessel Prosthesis Implantation - methods Cardiology. Vascular system Combined Modality Therapy Drug Combinations Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care Follow-Up Studies Formaldehyde - therapeutic use Gelatin - therapeutic use Heart Failure - diagnosis Heart Failure - surgery Heart-Assist Devices Humans Image Processing, Computer-Assisted Imaging, Three-Dimensional Intensive care medicine Male Medical sciences Middle Aged Postoperative Hemorrhage - surgery Reoperation Resorcinols - therapeutic use Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart Tomography, X-Ray Computed |
| title | Single-stage Extensive Chronic Type A Dissecting Aortic Aneurysm Repair and Continuous-flow Ventricular Assist Device Implantation |
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