JACC. Case reports · 2025
Heart Transplantation After Bentall Procedure and Extra-Anatomic Bypass: An Individualized Surgical Approach.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Mikami Michael Hikaru, Mikami Clara Mayumi, Ciccozzi Lucas do Valle, de Oliveira Coiradas Andressa, Bonatto Marcely Gimenes, Collatusso Claudinei
Аннотация
BACKGROUND: Heart transplantation after complex cardiac surgeries poses significant technical challenges owing to distorted anatomy and adhesions. This case illustrates how multidisciplinary planning can overcome such obstacles.
CASE SUMMARY: A 44-year-old man with prior Bentall procedure and aortic bypass developed end-stage heart failure. Preoperative computed tomography angiography revealed a distorted anatomy, with an anteriorly displaced Dacron graft. A staged approach was adopted, first excluding the bypass with thoracic endoprosthesis placement, followed by transplantation using femoral cannulation and meticulous dissection. The patient recovered well and was discharged from the hospital on postoperative day 20.
DISCUSSION: This case demonstrates innovative strategies for high-risk transplants, including preoperative vascular interventions and advanced imaging, providing a reproducible model for complex transplant cases. Technical flexibility and multidisciplinary planning were crucial to success.
TAKE-HOME MESSAGE: Complex heart transplants demand meticulous preoperative planning with advanced imaging, consideration of staged interventions, and multidisciplinary planning.
CASE SUMMARY: A 44-year-old man with prior Bentall procedure and aortic bypass developed end-stage heart failure. Preoperative computed tomography angiography revealed a distorted anatomy, with an anteriorly displaced Dacron graft. A staged approach was adopted, first excluding the bypass with thoracic endoprosthesis placement, followed by transplantation using femoral cannulation and meticulous dissection. The patient recovered well and was discharged from the hospital on postoperative day 20.
DISCUSSION: This case demonstrates innovative strategies for high-risk transplants, including preoperative vascular interventions and advanced imaging, providing a reproducible model for complex transplant cases. Technical flexibility and multidisciplinary planning were crucial to success.
TAKE-HOME MESSAGE: Complex heart transplants demand meticulous preoperative planning with advanced imaging, consideration of staged interventions, and multidisciplinary planning.