The Leaving Hospital Program of the Patient with LVAD for Destination Therapy
10.4326/jjcvs.39.65
- VernacularTitle:Destination therapy を目的とした LVAD 装着患者の外出プログラムの1例
- Author:
Shigeyoshi Gon
;
Yoshihiro Suematsu
;
Sei Morizumi
;
Tsuyoshi Shimizu
;
Takashi Nishimura
;
Shunei Kyo
- Publication Type:Journal Article
- Keywords:
destination therapy;
LVAD;
leaving hospital program
- From:Japanese Journal of Cardiovascular Surgery
2010;39(2):65-68
- CountryJapan
- Language:Japanese
-
Abstract:
The left ventricle assist device (LVAD) has become an important therapeutic option in the treatment of acute or chronic heart failure. It is usually used as bridge to transplantation or recovery. At present, destination therapy with LVAD has been a therapeutic option in patients with heart failure in whom transplantation is not indicated. We describe a patient, who received destination therapy with LVAD, and was able to go home temporarily. The patient was a 63-year-old man with low output syndrome after acute myocardial infarction. An LVAD (TOYOBO) was implanted at Oita University Hospital, however the patient suffered from MRSA mediastinitis 6 months later. He and his family wished for him to temporarily go home to Ibaraki. The patient, supported by LVAD, was transferred from Oita to Ibaraki by a regular commercial flight and ambulance. Rehabilitation training involved stretching, in-bed muscle strength training, maintaining a standing position, walking on flat ground with a walker and going up and down ramps. All training was measured at the patient's home. The patient was out of hospital for 5 hours, and this period was uneventful upon leaving hospital. The patient also took an active part in rehabilitation after discharge. This program can help to improve the quality of life (QOL) of patients with implanted LVADs for destination therapy.
