Postcardiotomy
Shock Patient Transported While on BVS® Receives Heart
Transplant
A 53-year-old male with a history of coronary artery disease,
chest pain, arrhythmias and hypertension underwent a routine
diagnostic cardiac catheterization which revealed a 50%
occlusion of the LAD, 70% occlusion of the secondary diagonal
lesion and a 40-50% occlusion of the mid-circumflex. At
that time, angioplasty was performed and the patient was
discharged to home. Two weeks later, the patient returned
to the hospital with recurring chest pain, a stent was
placed and the patient was discharged. Two weeks later,
the patient again presented to the hospital with chest
where a repeat cardiac catheterization revealed a dramatic
worsening of his disease. The patient underwent cornoary
artery bypass surgery the next day. During the operative
course, the patient was unable to be weaned from cardio-pulmonary
bypass and an ABIOMED BVS 5000 was implanted. The patient
was then transported via mobile ICU to a regional cardiac
transplant center. Four days later the decision was made
to place the patient on the cardiac transplant list. He
was transitioned to a longer term cardiac assist device
at that time. Two months later the patient underwent a
cardiac transplant, he was discharged to home two weeks
later.
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Patient on ABIOMED BVS LVAD Receives Heart
Transplant
A 31-year-old male was admitted to a local community
hospital emergency room with chest pain. He was taken
to the cardiac catheterization laboratory where a
stent was placed. The patient was treated with aspirin,
Plavix and Reopro. An echocardiogram was and chest
x ray were performed. The patient was diagnosed with
heart failure and discharged to home. Two weeks later,
the patient was readmitted to the emergency room with
chest pain. He was taken to the cardiac catheterization
laboratory where 100% occlusion of the previously
placed stent was diagnosed. Immediately after diagnosis,
the patient had cardiac arrest and was taken to the
operating room for coronary artery bypass. In addition
to the bypass surgery, the patient had an ABIOMED
BVS 5000 LVAD implanted. The patient was then transported
via helicopter to a regional heart transplant center.
The decision was then made to transition the patient
to a longer term ventricular assist device and place
the patient on the waiting list for a heart transplant.
Two months later the patient received a heart transplant.
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Patient with an acute myocardial infarction
and cardiogenic shock receives heart transplant following
BVS therapy
A 51-year-old female with a history of ischemic cardiomyopathy
and end-stage heart failure presented to a community
hospital in acute cardiogenic shock following Acute
Myocardial Infarction.. Cardiac catheterization revealed
a 90% occlusion of the Left Main artery, and an 80%
occlusion of the RCA. An IABP was placed and the patient
was taken to the operating room the next morning for
coronary artery bypass surgery. During the operative
procedure, an ABIOMED BVS 5000 LVAD was necessary
in order to wean the patient from cardio-pulmonary
bypass. After seven days on BVS support, the patient
was transported via ambulance to a regional cardiac
transplant center for further evaluation. Two days
later the patient was transitioned to a longer term
cardiac assist device. One month later the patient
received a heart transplant and was discharged to
home some time later. She has since returned to her
normal daily activities.
>
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39 Year Old Acute Myocardial Infarction Patient
Recovers After 4 Days of BVS 5000 Support
A 39 year-old male was admitted to the emergency room
of a local community hospital after experiencing chest
pain and becoming unconscious. The patient was defibrillated
multiple times for ventricular fibrillation without
success. After intubation and initiation of thrombolytic
therapy the patient was transported via ambulance
to a regional cardiac center. A cardiac catheterization
was performed, revealing 100% occlusion of the proximal
Left Anterior Decending coronary artery. The patient
remained unstable in cardiogenic shock and was taken
to the opertaing room emergently for implantation
of an ABIOMED BVS® 5000 LVAD. The patient stabilized
postoperatively and began to show signs of myocardial
recovery on post OP day three. On post OP day 4 the
LVAD was explanted. The patient was discharged home
post Op day11 and has returned to work.
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