Premium
Heartmate II Implantation with Right Coronary Bypass Grafting in Ischemic Cardiomyopathy with “Fixed” Pulmonary Hypertension: Treatment Strategy to Protect Right Ventricular Function
Author(s) -
Sommer SebastianPatrick,
Gorski Armin,
Aleksic Ivan,
Yildirim Cagatay,
Schimmer Christoph,
Beissert Matthias,
Weininger Markus,
Leyh Rainer G.
Publication year - 2010
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2009.00821.x
Subject(s) - medicine , cardiology , ischemic cardiomyopathy , bypass grafting , pulmonary hypertension , ventricular function , cardiomyopathy , right heart , heart failure , artery , ejection fraction
A 49‐year‐old male patient suffering from end‐stage ischemic cardiomyopathy with a left ventricular ejection fraction below 15% was presented to redo coronary artery bypass grafting (CABG). Coronary angiogram demonstrated an occluded left anterior descending artery and occluded right coronary artery, perfused retrogradely from the circumflex artery. Since positron emission tomography did not demonstrate viable left ventricular myocardium except for the basis of the left ventricle, CABG was considered futile. Cardiac transplantation was contra‐indicated due to pharmacologically unresponsive pulmonary artery hypertension. The patient successfully underwent left ventricular assist device implantation in combination with right coronary artery revascularization. The article reflects the regimen of right ventricular preservation in this patient.(J Card Surg 2010;25:116‐119)