Heart Transplantation as a Treatment Method for Refractory Heart Failure due to Post-myocarditis Dilated Cardiomyopathy: a Clinical Case

Voprosy Sovremennoj Pediatrii

Nataljya V. Ivyanskaya¹  Ekaterina A. Vlasova²  Elena I. Naumenko²  Anna N. Urzjaeva²  Larisa A. Balykova²  Nadezhda N. Urzjaeva³  Yulia A. Petrushkina³  Irina V. Leontieva⁴ 

[1] Mordovia Republic Children’s Hospital;Mordovia State University n.a. Ogarev;Sechenov First Moscow State Medical University (Sechenov University);Veltischev Research and Clinical Institute for Pediatrics of the Pirogov Russian National Research Medical University;

关键词: children;    myocarditis;    dilated cardiomyopathy;    heart failure;    heart transplantation;    diagnostics;    treatment;    mcs;    mechanical circulatory support;    complications;    cardioverter defibrillator;    risk;    clinical case;   

DOI  :  10.15690/vsp.v18i2.2015

来源: DOAJ

【 摘 要 】

Background. Implementation of mechanical circulatory support and heart transplantation technologies in paediatric clinical practice is changing approaches of diagnostics and treatment of heart failure (HF) in children. The experience of carrying out such operations in Russian Federation is extremely limited until recently due to absence of legal mechanisms of people declaration of intention recording about postmortal use of organs for transplantation.Clinical Case Description. The rare clinical case of drug-refractory (cardiotonic agents and cardioverter defibrillator implantation) chronic cardiac failure caused by post-myocarditis dilated cardiomyopathy (DCM) which demanded heart transplantation. Postoperative course, specific and non-specific complications, diagnostics and correction approaches are described.Conclusion. In the absence of proper analysis of non-specific slight symptoms myocarditis can progress to DCM and be complicated by development of refractory HF. The only method of sustaining child’s life in such case is heart transplantation which is connected with high risk of numerous and life-threatening complications.

【 授权许可】

Unknown