Cingoz Faruk, Gunay Celalettin, Ozal Ertugrul, Tatar Harun
Gulhane Military Medical Academy, Department of Cardiovascular Surgery, Ankara, Turkey.
J Card Surg. 2007 Mar-Apr;22(2):147-8. doi: 10.1111/j.1540-8191.2007.00353.x.
We report a case of orthotopic heart transplantation in a 42-year-old man who had cardiomyopathy with severe biventricular heart failure, ascites, and large umbilical hernia. He successfully received an orthotopic heart transplantation. After heart transplantation, renal failure was noted. Ascites and renal failure were successfully managed with repeated paracentesis. His cardiac and abdominal symptoms subsided gradually following transplantation. His umbilical hernia was repaired 55 days after the heart transplantation because of strangulation. In this case study, we report a patient with ascites who was treated for postoperative renal failure with repeated paracentesis.
我们报告了一例42岁男性原位心脏移植病例，该患者患有心肌病并伴有严重的双心室心力衰竭、腹水和巨大脐疝。他成功接受了原位心脏移植。心脏移植后，出现了肾衰竭。通过反复腹腔穿刺术成功控制了腹水和肾衰竭。移植后他的心脏和腹部症状逐渐缓解。由于发生绞窄，在心脏移植55天后对其脐疝进行了修复。在本病例研究中，我们报告了一名腹水患者，通过反复腹腔穿刺术治疗术后肾衰竭。
