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A 50-year-old male diagnosed with ischemic cardiomyopathy was waitlisted for a heart transplant. The preoperative evaluation was significant for pulmonary hypertension and chronic congestive heart failure with an EF of 10%. An AICD and a Impella (percutaneous pump) was placed. Pulmonary hypertension was treated with prostacyclines. Despite treatment, the patient was placed on ECMO. UNOS found a heart that was classified as a DCD donor. The case went well, but the patient could not be weaned off bypass.

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Anesthesia and the Heart Transplant

  • 章节

  • 发表日期：

    2025年

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  • Corey Scher

摘要

A 50-year-old male diagnosed with ischemic cardiomyopathy was waitlisted for a heart transplant. The preoperative evaluation was significant for pulmonary hypertension and chronic congestive heart failure with an EF of 10%. An AICD and a Impella (percutaneous pump) was placed. Pulmonary hypertension was treated with prostacyclines. Despite treatment, the patient was placed on ECMO. UNOS found a heart that was classified as a DCD donor. The case went well, but the patient could not be weaned off bypass.