Hii I H, Chi N-H, Chen Y-S, Tsao C-I, Cheng B-C, Wang S-S
Department of Cardiothoracic Surgery, National Taiwan University Hospital, Taipei City, Taiwan, R.O.C.
Department of Nursing, National Taiwan University Hospital, Taipei City, Taiwan, R.O.C.
Transplant Proc. 2018 Nov;50(9):2889-2890. doi: 10.1016/j.transproceed.2018.02.174. Epub 2018 Mar 19.
We report a heart transplantation in a patient with no heart. A 60-year-old man suffered from severe infective endocarditis, and due to extensive involvement of the myocardium, only minimal myocardium was left after debridement of the necrotic myocardium and aortic annulus. We finally excised the entire heart to eradicate the infection source and employed 2 extracorporeal membrane oxygenations for full life support. The infection was controlled with strong antibiotics. The patient underwent successful heart transplantation 16 days following the excision and the patient fully recovered without any complications.
我们报告了一例为无心脏患者进行心脏移植的病例。一名60岁男性患有严重感染性心内膜炎，由于心肌广泛受累，在清除坏死心肌和主动脉瓣环后仅残留极少的心肌。我们最终切除了整个心脏以根除感染源，并采用了2次体外膜肺氧合来维持生命支持。通过强效抗生素控制感染。患者在切除术后16天成功接受了心脏移植，且完全康复，无任何并发症。
