Division of Cardiology and Cardiovascular Surgery, Advocate Christ Medical Center, University of Illinois Hospitals and Health Sciences System, Chicago and Oak Lawn, Illinois.
Division of Cardiology and Cardiovascular Surgery, Advocate Christ Medical Center, University of Illinois Hospitals and Health Sciences System, Chicago and Oak Lawn, Illinois.
J Card Fail. 2014 Mar;20(3):207-11. doi: 10.1016/j.cardfail.2013.12.017. Epub 2013 Dec 25.
Cardiac transplantation is severely restricted by donor availability. Left ventricular dysfunction due to neurogenic stress cardiomyopathy is often seen during donor evaluation and often presents a clinical dilemma for procurement. We report a case of a 23-year-old man with severe left ventricular dysfunction whose heart was successfully procured for transplantation. The brief case report is followed by an extensive review of neurogenic stress cardiomyopathy as well as donor evaluation for cardiac transplantation in the setting of such cardiomyopathy.
心脏移植受到供体可用性的严重限制。在供体评估过程中,经常会出现因神经性应激性心肌病导致的左心室功能障碍,这常常给获取器官带来临床难题。我们报告了一例 23 岁男性,患有严重的左心室功能障碍,其心脏成功获取并用于移植。简要病例报告后,我们对神经性应激性心肌病以及在这种心肌病情况下进行心脏移植的供体评估进行了广泛的回顾。