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Abdominal complications in patients with implanted mechanical cardiac support


Authors: MUDr. David Janák, Ph.D. 1;  I. Netuka 2;  O. Szárszoi 2;  J. Lindner 1
Authors place of work: II. chirurgická klinika – kardiovaskulární chirurgie, 1. lékařská fakulta, Univerzita Karlova a Všeobecná fakultní nemocnice v Praze, přednosta: Prof. MUDr. J. Lindner, CSc. 1;  Klinika kardiovaskulární chirurgie IKEM, přednosta: Prof. MUDr. J. Pirk, DrSc. 2
Published in the journal: Rozhl. Chir., 2012, roč. 91, č. 9, s. 461-463.
Category: Review

Summary

Patients with implanted mechanical cardiac support are exposed to the risk of various complications in the early postoperative period. Although thromboembolic and bleeding events occur most frequently in these patients, we cannot disregard other complications that can have a significant impact on the further development of the implanted patient’s condition. These include abdominal complications. Literature data show clearly that mortality in implanted patients who developed an abdominal complication is significantly higher than that in patients without postoperative abdominal complications.

Key words:
mechanical circulatory support – abdominal complications


Zdroje

1. El Banayosy A et al. Miodterm follow-up of patiens discharged from hospital under left ventricular assistance. J Heart kung transsplant 2001;20:53.

2. Minami K et al. Morbidity and outcomes after mechanical ventricular support using Thoratec, Novacor and Heart Mate for bridging to heart transplantation. Artif organs. 2000;24:431.

3. Jay K et al. Impact of abdominal complications on outcome after mechanical circulatory support. Ann Thorac Surg 2010;89:522–529.

4. Kimball PM et al. Cellular immunity impaired among patients on left ventricular assist device for 6 months. Ann Thorac Surg 2008;85:1656–1661.

5. Bhama JK et al. Impact of abdominal complications on outcome after mechanical circulatory support. Kormos RL., Ann Thorac Surg 2010.

6. Letsou GV et al. Gastrointestinal bleeding from arteriovenosus malformation in patiens supported by Jarvik 2000 axial flow left ventricular assist device. J Heart Lung Transplant 2005;24:105–109.

7. Heyde EC. Gastrointestinal bleeding in aortic stenosis, N Eng J Med 1958;259:196.

8. Constantini TW et al. Abdominal complications ventricular assist device placement. Surg infect (Larchmt) 2005;6(4):409–418.

9. Bhama JK et al. Clinical experience utilizing the Levitronix CentriMag for temporary right ventricular mechanical circulatory support. J Heart Lung Transplant 2008;28:971–976.

10. Yilmaz K et al. Small bowel fistula and its impact: incorrect placement of left ventricular assist device cannulas leads to severe intestinal complications. BMJ Case Rep. 2011.

11. Dang et al. Right heart failure after left ventricular assist device implantation in patiens with chronic congestive heart failure. J Heart Lung Transplant 2006;25:1–6.

12. Mouly-Bandini et al. Transdiaphragmatic hernia 1 year after heart transplantation following implantable LVAD. J Heart Lung Transplant 2002;(21):1144–1146.

13. S. Saito et al. Abdominal fascial enlargement to relieve obstruction of the duodenum caused by Novacor left ventricular assist systém. J Heart Lung Transplant 2007;(26):759–762.

Štítky
Surgery Orthopaedics Trauma surgery
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