1. OPORAVAK NAKON DUGOTRAJNE MEHANIČKE CIRKULATORNE POTPORE U BOLESNIKA S KRONIČNIM ZATAJIVANJEM SRCA: PRIKAZ BOLESNIKA
- Author
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Zeljko, Sutlić, Davor, Barić, Jozica, Sikić, Darko, Kristović, Igor, Rudez, Daniel, Unić, Mislav, Planinc, Dubravka, Jonjić, and Ruza, Mrkonjić
- Subjects
Adult ,Cardiomyopathy, Dilated ,Heart Failure ,Male ,Zatajenje srca – patofiziologija, liječenje ,Dilatacijska kardiomiopatija – patofiziologija, liječenje ,Uređaji za potporu srcu – korištenje ,Disfunkcija lijeve klijetke – liječenje ,Ishod liječenja ,Funkcijski oporavak ,Heart failure – physiopathology, therapy ,Cardiomyopathy, dilated – physiopathology, therapy ,Heart-assist devices – utilization ,Ventricular dysfunction, left-therapy ,Treatment outcome ,Recovery of function ,Humans ,Heart-Assist Devices - Abstract
Mehanička potpora cirkulaciji danas je dio standardne terapije u liječenju završne faze zatajivanja sistoličke funkcije srca. U radu opisujemo karakteristike uređaja Thoratec pVAD za mehaničku potporu cirkulaciji, tehniku ugradnje, kao i najvažnije prednosti i komplikacije primjene uređaja. Prikazujemo slučaj 41-godišnjeg bolesnika s dilatacijskom kardiomiopatijom, kojemu je prvi put u Republici Hrvatskoj zbog zatajivanja srca ugrađen uređaj za parakorporalnu mehaničku potporu lijevom srcu (LVAD), koji je nakon 130 dana potpore odstranjen zbog poboljšanja srčane funkcije., Use of mechanical circulatory support (MCS) is a part of today’s standard therapy in the treatment of end-stage heart failure. In this paper we describe characteristics of Thoratec pVAD device for MCS, implantation techniques, as well as the most important advantages and complications of application of the device. We present a 41-year-old patient with dilatated cardiomyopathy, who was the first recipient of paracorporeal left ventricular assist device (LVAD) in the Republic of Croatia due to end-stage heart failure. After heart function recovery the patient was successfully weaned from MCS after 130 days of support.
- Published
- 2012