Transplantacija srca kod bolesnika sa ugrađenim uređajem za potporu rada leve komore nakon tromboze uređaja - prvi prikaz takvog slučaja u Srbiji

  • Duško Terzić Clinical Center of Serbia, Clinic for Cardiac Surgery, Belgrade, Serbia
  • Svetozar Putnik Clinical Center of Serbia, Clinic for Cardiac Surgery, Belgrade, Serbia
  • Emilija Nestorović Clinical Center of Serbia, Clinic for Cardiac Surgery, Belgrade, Serbia
  • Ilija Bilbija Clinical Center of Serbia, Clinic for Cardiac Surgery, Belgrade, Serbia
  • Ljiljana Bukarica Faculty of Medicine, Institute of Pharmacology, Clinical Pharmacology and Toxicology, Belgrade, Serbia
  • Vladimir Jovičić Clinical Center of Serbia, Clinic for Cardiac Surgery, Belgrade, Serbia
  • Jovana Rajković Faculty of Medicine, Institute of Pharmacology, Clinical Pharmacology and Toxicology, Belgrade, Serbia
  • Miljko Ristić Clinical Center of Serbia, Clinic for Cardiac Surgery, Belgrade, Serbia
DOI: https://doi.org/10.2298/VSP180701182T
Ključne reči: premeštanje implantiranog aparata;, srce, implantabilni mehanički aparati;, transplantacija srca;, tromboza;, lečenje, ishod

Sažetak


Uvod. Tromboza implantiranog uređaja za mehaničku potporu leve komore jedna je od najozbilnijih komplikacija sa visokom stopom morbiditeta i mortaliteta. Prikaz bolesnika. Bolesniku starom 59 godina implantiran je uređaj za mehaničku potporu rada leve komore kao most do transplantacije srca, sedamnaest meseci pre nastanka potencijalno fatalne  komplikacije - tromboze sa kompletnom opstrukcijom pumpe. Uprkos intenzivnom farmakološkom lečenju posle inicijalne sumnje na trombozu pumpe, stanje bolesnika se pogoršavalo do konačnog oglašavanja finalnog “pump off” alarma, koji je signalizirao zaustavljanje pumpe usled potpune opstrukcije trombom. Pravovremena pojava adekvatnog donora rezultirala je uspešnim hirurškim  lečenjem – transplantacijom srca. Zaključak. Prioritetna transplantacija srca, po prvom redu hitnosti, ili zamena uređaja, iako tehnički ekstremno zahtevne procedure, predstavljaju uspešne terapijske opcije za tu grupu bolesnika.

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Objavljeno
2021/01/15
Broj časopisa
Vol. 77 Br. 12 (2020): Vojnosanitetski Pregled
Rubrika
Prikaz bolesnika