Severe ventricular dysfunction and concomitant infection are considered absolute cotraindications for major thoracic operations and immunosuppressive therapy, respectively. However, cardiac transplantation represents the first- choice treatment in advanced heart failure. We report the case of a patient with dilated cardiomyopathy and severe left ventricular dysfunction (ejection fraction = 25%), initially not considered as a potential heart transplant candidate due to the presence of a lung abscess. The patient subsequently underwent atypical pulmonary resection with intraoperative and perioperative intraaortic balloon counterpulsation for circulatory support and was then listed for cardiac transplant. Pitfalls and intra/postoperative strategy, all of which are potentially important aspects in minimizing operative risk, are discussed.
|Translated title of the contribution||High-risk pulmonary surgery in potential heart transplant candidates|
|Number of pages||3|
|Journal||Giornale Italiano di Cardiologia|
|Publication status||Published - Nov 1999|
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine