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Early primary cardiac graft failure and combined heart–liver transplantation: need for an uncommon double bypass
D Eyraud, JC Vaillant, C Ionescu... - British journal of ..., 2011 - British Jrnl Anaesthesia... Heart transplantation was first performed using the standard method of our cardiac surgery centre.
1 Ischaemic time was 135 min. ... References. ↵: Pavie A,; Dorent R,; Reagen M,; et al. . La Piti
heart transplantation: 30 years single center clinical experience. ...
Editor—A 32-yr-old man was referred for combined heart and liver transplantation (CHLT) because of recurrent severe right heart failure and refractory ascites with biopsy-proven cirrhosis. Heart transplantation was first performed using the standard method of our cardiac surgery centre.1 Ischaemic time was 135 min. Despite the use of inotropes (epinephrine) and inhaled vasodilators (nitric oxide), mean arterial pressure (MAP) remained below 50 mm Hg because of failed cardiac contraction. A central extracorporeal membrane oxygenation (ECMO) (Carmeda®, Medtronic France SA, Rueil Malmaison, France) support was used. A 130 beats min−1 sinus rhythm and left atrial pressure above 10 mm Hg could thus be maintained. Epinephrine and ...
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Early primary cardiac graft failure and combined heart–liver transplantation: need for an uncommon double bypass |
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