Premium
Heart transplantation bridged by mechanical circulatory support in a HIV‐positive patient
Author(s) -
Mehdiani Arash,
Petrov George,
Akhyari Payam,
Saeed Diyar,
Kamiya Hiroyuki,
Westenfeld Ralf,
Lichtenberg Artur,
Boeken Udo
Publication year - 2016
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/jocs.12787
Subject(s) - medicine , heart transplantation , circulatory system , myocardial infarction , heart failure , bypass grafting , extracorporeal , artery , transplantation , cardiology , ventricular assist device , life support , human immunodeficiency virus (hiv) , surgery , intensive care medicine , family medicine
We report on the unique clinical course of a 44‐year‐old male HIV‐positive heart transplant recipient, who was bridged by mechanical circulatory support (MCS). The patient was admitted with acute ischemic heart failure due to severe myocardial infarction. After emergency coronary artery bypass grafting and nine days of extracorporeal life support, we implanted a left ventricular assist device. As HIV infection was effectively treated and other contraindications were not present, we decided to perform a heart transplantation (HTX). At the current time, 34 months after unremarkable HTX, rejection or opportunistic infections have not occurred.