Flécher Erwan
CHU Pontchaillou, département de chirurgie thoracique et cardiovasculaire, 35033 Rennes cedex 9, France.
Presse Med. 2014 Jul-Aug;43(7-8):809-12. doi: 10.1016/j.lpm.2014.03.018. Epub 2014 Jun 3.
Cardiac transplantation remains the gold standard for end stage heart failure however results of long-term mechanical circulatory support have dramatically improved over the last 10years. One should now clearly consider a left ventricular assist device as bridge to transplant or destination therapy in refractory isolated left heart failure. Mechanical biventricular support remains more challenging with lower survival and may be proposed as bridge to transplant. Correct patient's selection and appropriate follow-up are mandatory in such critical patients.
心脏移植仍然是终末期心力衰竭的金标准，然而在过去10年里，长期机械循环支持的效果有了显著改善。现在人们应该明确考虑将左心室辅助装置作为难治性孤立性左心衰竭患者移植的桥梁或终末治疗手段。双心室机械支持仍然更具挑战性，生存率较低，可作为移植的桥梁。对于这类重症患者，正确的患者选择和适当的随访是必不可少的。
