Splenic injury during biventricular assist device support as bridge to transplantation | Zendy

Michel Kindo | Zendy; Sébastien Gerelli | Zendy; Philippe Billaud | Zendy; E. Epailly | Zendy; J P Mazzucotelli | Zendy; B Eisenmann | Zendy

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Splenic injury during biventricular assist device support as bridge to transplantation

Author(s) -

Michel Kindo,

Sébastien Gerelli,

Philippe Billaud,

E. Epailly,

J P Mazzucotelli,

B Eisenmann

Publication year - 2006

Publication title -

interactive cardiovascular and thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.546

H-Index - 56

eISSN - 1569-9293

pISSN - 1569-9285

DOI - 10.1510/icvts.2006.145219

Subject(s) - medicine , splenectomy , heart transplantation , sepsis , heart failure , bridge to transplantation , transplantation , surgery , incidence (geometry) , pathological , ventricular assist device , cardiology , spleen , physics , optics

Biventricular assist device (BVAD) has been shown to be effective for bridge to heart transplantation with an acceptability low incidence of adverse effects in critically ill heart failure patients. We report the case of a 44-year-old man with severe acute ischemic heart failure who was supported with the Thoratec paracorporeal biventricular assist system. After an initial uneventful postoperative course the patient experienced a splenic rupture which required a splenectomy. The pathological mechanism of this outcome remains unclear. Two months after discharge, the patient underwent heart transplantation and had no postsplenectomy sepsis or thrombotic complications at the last follow-up.

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