A Successful Heart Transplantation Coupled with Temporary Right Ventricular Assist Device Implantation in a Patient with (ir)Reversible Pulmonary Hypertension

Agnieszka Dyla (), Wojciech Mielnicki, Jacek Waszak, Hubert Szurmiak, Krystian Jakimowicz, Roch Pakuła and Michał Oskar Zembala
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Agnieszka Dyla: Department of Cardiac Surgery, Cardiac and Lung Transplantation, Mechanical Circulatory Support, Silesian Centre for Heart Diseases, 41-800 Zabrze, Poland
Wojciech Mielnicki: Anaesthesiology and Intensive Care Unit, District Hospital, 55-200 Olawa, Poland
Jacek Waszak: Department of Cardiac Surgery, Cardiac and Lung Transplantation, Mechanical Circulatory Support, Silesian Centre for Heart Diseases, 41-800 Zabrze, Poland
Hubert Szurmiak: Department of Cardiac Surgery, Cardiac and Lung Transplantation, Mechanical Circulatory Support, Silesian Centre for Heart Diseases, 41-800 Zabrze, Poland
Krystian Jakimowicz: Department of Cardiac Surgery, Cardiac and Lung Transplantation, Mechanical Circulatory Support, Silesian Centre for Heart Diseases, 41-800 Zabrze, Poland
Roch Pakuła: Department of Cardiac Surgery, Cardiac and Lung Transplantation, Mechanical Circulatory Support, Silesian Centre for Heart Diseases, 41-800 Zabrze, Poland
Michał Oskar Zembala: Department of Cardiac Surgery, Cardiac and Lung Transplantation, Mechanical Circulatory Support, Silesian Centre for Heart Diseases, 41-800 Zabrze, Poland

IJERPH, 2022, vol. 19, issue 19, 1-5

Abstract: Pulmonary hypertension (PH) constitutes one of the main contraindications to heart transplantation (OHT), and elevated pulmonary vascular resistance (PVR) is associated with high risk of posttransplant right heart failure (RVF). In the present case report, a patient with PH is introduced who qualified for heart lung transplantation (HLT) and underwent successful OHT with temporary right ventricle assist device (tRVAD) due to the lack of a suitable heart-lung donor. Temporary RVAD support coupled with optimal medical management may help reverse pulmonary vascular resistance, which was previously deemed as permanent in patients requiring heart transplantation.

Keywords: heart transplantation; pulmonary hypertension; right ventricle assist device; RVAD (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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