RT Book, Section
A1 Yazhini, Ravi
A1 Amulraj, Emmanuel A.
A1 Lella, Srihari K.
A1 Quader, Mohammed
A1 Sai-Sudhakar, Chittoor B.
A2 Baliga, R. R.
A2 Abraham, William T.
SR Print(0)
ID 1161018975
T1 Total Artificial Heart
T2 Color Atlas and Synopsis of Heart Failure
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071749381
LK accesscardiology.mhmedical.com/content.aspx?aid=1161018975
RD 2024/04/18
AB A  55-year-old  male  with  a  history  of  dilated  ischemic  cardiomyopathy,  presented  with  NYHA  Class  IV  CHF,  with  worsening  SOB.  Echo  demonstrated  biventricular  failure.  Invasive  hemodynamic  monitoring  suggested  low  cardiac  output  with  elevated  filling  pressures  including  a  high  CVP  and  laboratory  values  were  indicative  of  renal  and  hepatic  dysfunction.  Initial  trial  of  therapy  with  dual  inotropes  did  not  lead  to  an  improvement  in  his  clinical  status.  His  ABO  blood  group  was  O+.  He  was  considered  a  candidate  for  advanced  therapies  and  a  TAH  was  inserted.  Following  adequate  clinical  recovery  and  improvement  in  his  functional  and  nutritional  status,  he  had  a  heart  transplantation  and  was  discharged  in  a  stable  condition.