Axillary intra-aortic balloon pump, biventricular assist device implantation and subsequent orthotopic heart transplantation in a patient with sickle cell trait.
axillary intra-aortic balloon pump
heart transplantation
mechanical circulatory support
sickle cell disease
Journal
Journal of surgical case reports
ISSN: 2042-8812
Titre abrégé: J Surg Case Rep
Pays: England
ID NLM: 101560169
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
received:
30
03
2022
revised:
14
05
2022
accepted:
16
05
2022
entrez:
23
6
2022
pubmed:
24
6
2022
medline:
24
6
2022
Statut:
epublish
Résumé
A 38-year-old male with sickle cell trait and acute refractory heart failure received an axillary intra-aortic balloon pump and short-term biventricular assist device. He underwent orthotopic heart transplantation 45 days later, which was complicated by major bleeding necessitating significant intra-operative transfusion. Support with veno-arterial extracorporeal membrane oxygenation was provided and successfully weaned five days later. He made a full recovery and remains alive and well 34 months after discharge. We hypothesize that the protective peri-operative measures undertaken, including normothermia during surgery and post-operative haemodynamic stability due to the use of mechanical circulatory support, conveyed a degree of protection against complications associated with sickle cell dysfunction and contributed to the successful outcome.
Identifiants
pubmed: 35733976
doi: 10.1093/jscr/rjac260
pii: rjac260
pmc: PMC9205687
doi:
Types de publication
Case Reports
Langues
eng
Pagination
rjac260Informations de copyright
Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2022.
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