Impact of mechanical circulatory support on renal function in a patient with end stage heart failure
Authors:
Marián Urban 1; Ivan Netuka 1,3; Alena Paříková 2; Jiří Malý 1,3; Ondrej Szárszoi 1,3; Jan Pirk 1,3
Authors place of work:
Klinika kardiovaskulární chirurgie IKEM, Praha
1; Klinika nefrologie IKEM, Praha
2; Centrum výzkumu srdce a cév
3
Published in the journal:
Čas. Lék. čes. 2010; 149: 129-132
Category:
Case Report
Summary
Renal insufficiency is common in patients with chronic heart failure. There are two pathologic processes involved in etiology of this type of renal insufficiency: first is the decrease in end organ perfusion as a result of reduction in cardiac output of the failing heart, second is the vascular nephrosclerosis resulting from atherosclerosis as part of the underlying disease process. This paper outlines the benefit of mechanical assist device implantation in improving renal function. After a rapid improvement of renal functions after biventricular assist device implantation in our patient with dilated cardiomyopathy we were able to avoid combined heart and kidney transplant and proceed with an isolated heart transplant.
Key words:
chronic heart failure, chronic renal failure, mechanical assist device, cardiorenal syndrome, combined heart kidney transplant, heart transplant.
Zdroje
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Štítky
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistČlánok vyšiel v časopise
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