Cardiac allograft failure: successful use of biventricular assist device

J Jaggers; D A Fullerton; D N Campbell; B Andrea; S D Jones; J M Brown; E E Wolfel; J Lindenfeld; F L Grover; M R Bristow

doi:10.1016/0003-4975(95)00498-A

Cardiac allograft failure: successful use of biventricular assist device

Ann Thorac Surg. 1995 Nov;60(5):1409-11. doi: 10.1016/0003-4975(95)00498-A.

Authors

J Jaggers¹, D A Fullerton, D N Campbell, B Andrea, S D Jones, J M Brown, E E Wolfel, J Lindenfeld, F L Grover, M R Bristow

Affiliation

¹ Department of Surgery, University of Colorado Health Sciences Center, Denver 80262, USA.

PMID: 8526640
DOI: 10.1016/0003-4975(95)00498-A

Abstract

Nonspecific primary allograft dysfunction is an important cause of perioperative death in cardiac transplant recipients. We report a case of severe nonspecific allograft dysfunction that was ultimately reversible after 18 days of biventricular mechanical circulatory support. Allograft recovery was echocardiographically recognized by a positive inotropic response to isoproterenol and milrinone. This case illustrates the potential for recovery of even extreme allograft dysfunction.

Publication types

Case Reports

MeSH terms

Adult
Cardiac Output, Low / diagnostic imaging
Cardiac Output, Low / etiology
Cardiac Output, Low / therapy*
Cardiotonic Agents / therapeutic use
Combined Modality Therapy
Graft Rejection / complications*
Heart Transplantation / adverse effects*
Heart-Assist Devices*
Humans
Isoproterenol / therapeutic use
Male
Milrinone
Pyridones / therapeutic use
Ultrasonography

Substances

Cardiotonic Agents
Pyridones
Milrinone
Isoproterenol