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Комплексные проблемы сердечно-сосудистых заболеваний

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A CASE STUDY OF COMBINED CORONARY ARTERY BYPASS GRAFTING AND TRICUSPID VALVE REPLACEMENT 25 YEARS AFTER HEART TRANSPLANTATION

https://doi.org/10.17802/2306-1278-2015-4-112-113

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Аннотация

Aim. Coronary artery bypass grafting (CABG) and tricuspid valve replacement (TVR) are available therapeutic options for cardiac allograft vasculopathy (CAV) and tricuspid regurgitation (TR), respectively after orthotopic heart transplantation (OHT). To our knowledge, these two procedures have never been reported simultaneously in a heart transplant recipient in the literature.

Materials and methods. We present the first incidence of a simultaneous CABG and TVR with a BiocorTMbioprosthetic valve in a heart transplant recipient 25 years after the original transplant operation, the longest reported duration before reoperation after OHT.

Results. Early postoperative course was complicated by complete heart block requiring placement of dual chamber pacemaker. Patient progressed well after this intervention and was eventually discharged to home and remained asymptomatic on follow-up.

Conclusion. Concomitatnt CAV and TVR for severe TR is a safe and effective treatment option with low perioperative mortality and favorable short and long term outcomes in heart transplant recipients.

Об авторах

HUSAYN LADHANI
University Hospitals Case Medical Center
Соединённые Штаты Америки
Cleveland, Ohio


HARVEEN K. LAMBA
Louis Stokes Veterans Affairs Medical Center
Соединённые Штаты Америки
10701 E. Blvd, Cleveland, OH 44106


YAKOV ELGUDIN
Louis Stokes Veterans Affairs Medical Center
Соединённые Штаты Америки
10701 E. Blvd, Cleveland, OH 44106


Список литературы

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2. Cale R., Rebocho M. J., Aguilar C. et al. Diagnosis, prevention and treatment of cardiac allograft vasculopathy. Portuguese Journal of Cardiology. 2012; 31 (11): 721–730.

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7. Goerler H., Simon A., Warnecke G., Meyer A. L., Kuehn C. et al. Cardiac surgery late after heart transplantation: a safe and effective treatment option. Journal of Thoracic and Cardiovascular Surgery. 2010; 140: 433–439.

8. Bhama J. K., Nguyen D. Q., Scolieri S., Teuteberg J. J., Toyoda Y. et al. Surgical revascularization for cardiac allograft vasculopathy: is it still an option? Journal of Thoracic and Cardiovascular Surgery. 2009; 137: 1488–1492.

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Для цитирования:


LADHANI H., LAMBA H.K., ELGUDIN Y. A CASE STUDY OF COMBINED CORONARY ARTERY BYPASS GRAFTING AND TRICUSPID VALVE REPLACEMENT 25 YEARS AFTER HEART TRANSPLANTATION. Комплексные проблемы сердечно-сосудистых заболеваний. 2015;(4):112-113. https://doi.org/10.17802/2306-1278-2015-4-112-113

For citation:


LADHANI H., LAMBA H.K., ELGUDIN Y. A CASE STUDY OF COMBINED CORONARY ARTERY BYPASS GRAFTING AND TRICUSPID VALVE REPLACEMENT 25 YEARS AFTER HEART TRANSPLANTATION. Complex Issues of Cardiovascular Diseases. 2015;(4):112-113. (In Russ.) https://doi.org/10.17802/2306-1278-2015-4-112-113

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ISSN 2306-1278 (Print)
ISSN 2587-9537 (Online)