Triple bridge to simultaneous heart and kidney transplantation.

El-Sayed Ahmed, Magdy M; Aftab, Muhammad; Singh, Steve K; Mallidi, Hari R; Frazier, Oscar H · Ann Thorac Surg · 2014

case_report · Level V

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Abstract

We report a 40-year-old man who presented with irreversible cardiogenic shock. The patient was treated with three consecutive stages of mechanical circulatory support as a triple bridge to cardiac transplantation. Extracorporeal membrane oxygenation support was used for 5 days, followed by Levitronix CentriMag biventricular assist devices for 39 days. This was escalated to implantation of the CardioWest temporary total artificial heart for 107 days. The patient experienced concurrent end-stage renal disease and subsequently underwent both heart and kidney transplantation. On postoperative day 18 the patient was discharged with good cardiac and renal function.

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