Partial Left Ventriculectomy as a Bridge to Cardiac Transplantation in a Patient of End-Stage Heart Failure: Case Report.
- Author:
Yang Bin JEON
1
;
Chang Ha LEE
;
Jae Woong LEE
;
Chul Hyun PARK
;
Kook Yang PARK
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Heart Center, Gil Hospital, Gachon Medical College, Inchon, Korea. junyb@ghil.com
- Publication Type:Case Report
- Keywords:
Cardiomyopathy, dilated;
Ventriculectomy;
Batista openation;
Heant transplantation
- MeSH:
Biopsy;
Cardiomyopathy, Dilated;
Deoxycytidine Monophosphate;
Echocardiography;
Follow-Up Studies;
Heart Failure*;
Heart Transplantation*;
Heart*;
Humans;
Lung;
Male
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2002;35(9):672-674
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 40-years-old male with dilated cardiomyopathy(DCMP) and end-stage heart failure had undergone partial left ventriculectomy(PLV) in July 1997 and then underwent cardiac transplantation in January 1999. Three months later he showed increased ejection fraction (EF) from 26% to 42.6%, decreased left ventricular end diastolic diameter(LVEDD) from 71mm to 45mm, cardiac output(CO) 3.95 L/min and cardiac index(CI) 2.28 L/min/m2 echocardiographically. Eight months later, left ventriclular end diastolic and systolic diameters increased to 56 and 51 mm respectively and EF decreased to 17% in echocardiographic follow-up. He had been on maximum medication until he underwent cardiac transplantation 18 months after the PLV. Consecutive myocardial biopsies (1, 3 and 6 month later) showed ISHLT (international society of heart and lung transplantation) class 1a and the treatment for rejection was not needed until now on. We report a partial left ventriculectomy as a successful bridge to cardiac transplantation in a patient with DCMP and end-stage heart failure.
