Cargando…
Acute heart transplantation from mechanical circulatory support in a human immunodeficiency virus‐positive patient with fulminant myocarditis
Since the establishment of highly active antiretroviral therapy, survival rates have improved among patients with human immunodeficiency virus infection giving them the possibility to become transplant candidates. Recent publications revealed that human immunodeficiency virus‐positive heart transpla...
Autores principales: | , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8006693/ https://www.ncbi.nlm.nih.gov/pubmed/33634606 http://dx.doi.org/10.1002/ehf2.13271 |
_version_ | 1783672357601148928 |
---|---|
author | Szakal‐Toth, Zsofia Szlavik, Janos Soltesz, Adam Berzsenyi, Viktor Csikos, Gergely Varga, Tamas Racz, Kristof Kiraly, Akos Sax, Balazs Hartyanszky, Istvan Fintha, Attila Prohaszka, Zoltan Monostory, Katalin Merkely, Bela Nemeth, Endre |
author_facet | Szakal‐Toth, Zsofia Szlavik, Janos Soltesz, Adam Berzsenyi, Viktor Csikos, Gergely Varga, Tamas Racz, Kristof Kiraly, Akos Sax, Balazs Hartyanszky, Istvan Fintha, Attila Prohaszka, Zoltan Monostory, Katalin Merkely, Bela Nemeth, Endre |
author_sort | Szakal‐Toth, Zsofia |
collection | PubMed |
description | Since the establishment of highly active antiretroviral therapy, survival rates have improved among patients with human immunodeficiency virus infection giving them the possibility to become transplant candidates. Recent publications revealed that human immunodeficiency virus‐positive heart transplant recipients' survival is similar to non‐infected patients. We present the case of a 40‐year‐old human immunodeficiency virus infected patient, who was hospitalized due to severely decreased left ventricular function with a possible aetiology of acute myocarditis, that has later been confirmed by histological investigation of myocardial biopsy. Due to rapid progression to refractory cardiogenic shock, extracorporeal membrane oxygenation implantation had been initiated, which was upgraded to biventricular assist device later. On the 35th day of upgraded support, the patient underwent heart transplantation uneventfully. Our clinical experience confirms that implementation of temporary mechanical circulatory support and subsequent cardiac transplantation might be successful in human immunodeficiency virus‐positive patients even in case of new onset, irreversible acute heart failure. |
format | Online Article Text |
id | pubmed-8006693 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-80066932021-04-01 Acute heart transplantation from mechanical circulatory support in a human immunodeficiency virus‐positive patient with fulminant myocarditis Szakal‐Toth, Zsofia Szlavik, Janos Soltesz, Adam Berzsenyi, Viktor Csikos, Gergely Varga, Tamas Racz, Kristof Kiraly, Akos Sax, Balazs Hartyanszky, Istvan Fintha, Attila Prohaszka, Zoltan Monostory, Katalin Merkely, Bela Nemeth, Endre ESC Heart Fail Case Reports Since the establishment of highly active antiretroviral therapy, survival rates have improved among patients with human immunodeficiency virus infection giving them the possibility to become transplant candidates. Recent publications revealed that human immunodeficiency virus‐positive heart transplant recipients' survival is similar to non‐infected patients. We present the case of a 40‐year‐old human immunodeficiency virus infected patient, who was hospitalized due to severely decreased left ventricular function with a possible aetiology of acute myocarditis, that has later been confirmed by histological investigation of myocardial biopsy. Due to rapid progression to refractory cardiogenic shock, extracorporeal membrane oxygenation implantation had been initiated, which was upgraded to biventricular assist device later. On the 35th day of upgraded support, the patient underwent heart transplantation uneventfully. Our clinical experience confirms that implementation of temporary mechanical circulatory support and subsequent cardiac transplantation might be successful in human immunodeficiency virus‐positive patients even in case of new onset, irreversible acute heart failure. John Wiley and Sons Inc. 2021-02-25 /pmc/articles/PMC8006693/ /pubmed/33634606 http://dx.doi.org/10.1002/ehf2.13271 Text en © 2021 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Case Reports Szakal‐Toth, Zsofia Szlavik, Janos Soltesz, Adam Berzsenyi, Viktor Csikos, Gergely Varga, Tamas Racz, Kristof Kiraly, Akos Sax, Balazs Hartyanszky, Istvan Fintha, Attila Prohaszka, Zoltan Monostory, Katalin Merkely, Bela Nemeth, Endre Acute heart transplantation from mechanical circulatory support in a human immunodeficiency virus‐positive patient with fulminant myocarditis |
title | Acute heart transplantation from mechanical circulatory support in a human immunodeficiency virus‐positive patient with fulminant myocarditis |
title_full | Acute heart transplantation from mechanical circulatory support in a human immunodeficiency virus‐positive patient with fulminant myocarditis |
title_fullStr | Acute heart transplantation from mechanical circulatory support in a human immunodeficiency virus‐positive patient with fulminant myocarditis |
title_full_unstemmed | Acute heart transplantation from mechanical circulatory support in a human immunodeficiency virus‐positive patient with fulminant myocarditis |
title_short | Acute heart transplantation from mechanical circulatory support in a human immunodeficiency virus‐positive patient with fulminant myocarditis |
title_sort | acute heart transplantation from mechanical circulatory support in a human immunodeficiency virus‐positive patient with fulminant myocarditis |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8006693/ https://www.ncbi.nlm.nih.gov/pubmed/33634606 http://dx.doi.org/10.1002/ehf2.13271 |
work_keys_str_mv | AT szakaltothzsofia acutehearttransplantationfrommechanicalcirculatorysupportinahumanimmunodeficiencyviruspositivepatientwithfulminantmyocarditis AT szlavikjanos acutehearttransplantationfrommechanicalcirculatorysupportinahumanimmunodeficiencyviruspositivepatientwithfulminantmyocarditis AT solteszadam acutehearttransplantationfrommechanicalcirculatorysupportinahumanimmunodeficiencyviruspositivepatientwithfulminantmyocarditis AT berzsenyiviktor acutehearttransplantationfrommechanicalcirculatorysupportinahumanimmunodeficiencyviruspositivepatientwithfulminantmyocarditis AT csikosgergely acutehearttransplantationfrommechanicalcirculatorysupportinahumanimmunodeficiencyviruspositivepatientwithfulminantmyocarditis AT vargatamas acutehearttransplantationfrommechanicalcirculatorysupportinahumanimmunodeficiencyviruspositivepatientwithfulminantmyocarditis AT raczkristof acutehearttransplantationfrommechanicalcirculatorysupportinahumanimmunodeficiencyviruspositivepatientwithfulminantmyocarditis AT kiralyakos acutehearttransplantationfrommechanicalcirculatorysupportinahumanimmunodeficiencyviruspositivepatientwithfulminantmyocarditis AT saxbalazs acutehearttransplantationfrommechanicalcirculatorysupportinahumanimmunodeficiencyviruspositivepatientwithfulminantmyocarditis AT hartyanszkyistvan acutehearttransplantationfrommechanicalcirculatorysupportinahumanimmunodeficiencyviruspositivepatientwithfulminantmyocarditis AT finthaattila acutehearttransplantationfrommechanicalcirculatorysupportinahumanimmunodeficiencyviruspositivepatientwithfulminantmyocarditis AT prohaszkazoltan acutehearttransplantationfrommechanicalcirculatorysupportinahumanimmunodeficiencyviruspositivepatientwithfulminantmyocarditis AT monostorykatalin acutehearttransplantationfrommechanicalcirculatorysupportinahumanimmunodeficiencyviruspositivepatientwithfulminantmyocarditis AT merkelybela acutehearttransplantationfrommechanicalcirculatorysupportinahumanimmunodeficiencyviruspositivepatientwithfulminantmyocarditis AT nemethendre acutehearttransplantationfrommechanicalcirculatorysupportinahumanimmunodeficiencyviruspositivepatientwithfulminantmyocarditis |