Chirurgia polmonare ad alto rischio in potenziali candidati a trapianto cardiaco

Translated title of the contribution: High-risk pulmonary surgery in potential heart transplant candidates

Francesco Donatelli, Marco Pocar, Giovanni Marchetto, Andrea Moneta, Emmanuel Villa, Adalberto Grossi

Research output: Contribution to journalArticlepeer-review

Abstract

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 contributionHigh-risk pulmonary surgery in potential heart transplant candidates
Original languageItalian
Pages (from-to)1331-1333
Number of pages3
JournalGiornale Italiano di Cardiologia
Volume29
Issue number11
Publication statusPublished - Nov 1999

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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