Concomitant Frozen Elephant Trunk and Total Artificial Heart as a Bridge to Heart Transplantation

Orazio Amabile MD , Andrew Keogan MD , Modesto Colón MD , Mark Tasset MD , Ryan Ung DO , Ambar Andrade MD , Anantharam Kalya MD , Marc Silver MD , Radha Gopalan MD , Francisco Arabía MD, MBA
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Abstract

Patients with cardiomyopathy and aortic dissection presents significant challenges. Some patients are too ill to go directly to transplantation and require a bridge strategy to address the cardiomyopathy and dissection. This case combines a total artificial heart with a frozen elephant trunk procedure to increase the likelihood of survival. The patient underwent transposition of the left subclavian artery to the left carotid artery prior to frozen elephant trunk combined with implantation of a total artificial heart, bridge to transplantation. The patient remained inpatient, and underwent heart transplantation, with discharge from the hospital. Bridge to transplantation in patients with dissection is feasible in selected patients.
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冷冻象鼻联合全人工心脏作为心脏移植的桥梁
心肌病和主动脉夹层患者提出了重大挑战。有些患者病情严重,无法直接进行移植,需要桥接策略来解决心肌病和夹层。这个病例结合了全人工心脏和冷冻象鼻手术来增加存活的可能性。患者先将左锁骨下动脉转位至左颈动脉,然后冷冻象鼻并植入全人工心脏,作为移植的桥梁。患者继续住院,并接受了心脏移植手术,出院。在选定的患者中,对夹层患者进行移植是可行的。
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