Revista argentina de cardiología
versión On-line ISSN 1850-3748
COHEN ARAZI, Hernán et al. Temporary Circulatory Support as a Bridge to Retransplantation. Rev. argent. cardiol. [online]. 2010, vol.78, n.6, pp. 516-517. ISSN 1850-3748.
Despite the significant advances in recipient selection criteria for cardiac transplantation, organ preservation techniques, novel immunosuppressive agents, and care following transplantation, early and late graft failures are still high in heart transplant recipients. Several therapeutic interventions have been described for these cases; however, the use of ventricular assist devices and cardiac retransplantation still remain as the definite treatment for this subgroup of patients. We describe a case of refractory cardiogenic shock due to acute myocardial infarction in a patient with a history of heart transplantation that was consecutively treated with intraaortic balloon pump and myocardial revascularization surgery. Despite therapy, the patient remained in refractory cardiogenic shock with múltiple organ failure and received Levitronix® CentriMag® as a bridge to retransplantation. After 21 days under circulatory support, múltiple organ failure reverted and the patient underwent orthotopic heart transplantation.
Palabras clave : Heart Transplantation; Circulatory Support; Shock.