Cardiac transplantation for recurrent cardiogenic shock following cardiac surgery: a case report
10.3760/cma.j.cn121090-20241130-00506
- VernacularTitle:心脏手术后再次心源性休克行心脏移植1例
- Author:
Ting YANG
1
;
Hongyu YE
;
Hongkai LIANG
Author Information
1. 中山市人民医院重症医学科，中山 528400
- Publication Type:Journal Article
- From:
Chinese Journal of Hematology
2024;45(S1):114-116
- CountryChina
- Language:Chinese
-
Abstract:
Heart failure and cardiogenic shock occurred again on the patient who undergone coronary artery bypass grafting, mechanical mitral valve replacement, and tricuspid valve repair surgery for coronary heart disease, mitral regurgitation, and tricuspid valve regurgitation 2 months ago. His heart function could not recover after Intra-Aortic Balloon Pump (IABP) supported for 1 month, and then Veno-Arterial Extracorporeal Membrane Oxygenation (VA-ECMO) was applied. During the VA-ECMO assisted procedure, complex coagulation dysfunction was present, bleeding and thrombosis was coexisting. Treatment with anti-infective drugs, adjustment dosage of anticoagulant and anti-infective drugs, and infusion of blood products, coagulation function was improved. Cardiac transplantation was applied after VA-ECMO support for 10 days. Right heart failure, multiple serosal fluid accumulation (in the chest and abdominal cavities), repeated infections in the lungs and blood flow, liver dysfunction, renal dysfunction, coagulation dysfunction, pneumothorax were occurred successively after cardiac transplantation. The patient recovered and discharged from the hospital after active treatment. The recipient's quality of life is good and the transplanted heart function is basically normal.
