原位心脏移植术后严重胃轻瘫。
Severe gastroparesis after orthotopic heart transplantation.
机构信息
Division of Cardiac Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.
Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria.
出版信息
Eur J Cardiothorac Surg. 2021 Apr 13;59(3):717-719. doi: 10.1093/ejcts/ezaa309.
We present a case of severe gastroparesis in a recipient of orthotopic heart transplantation. Although a rare condition after heart transplantation, it is a potential cause of significant morbidity, including vomiting, aspiration and pneumonia. Moreover, impaired gastric emptying alters the pharmacokinetics of immunosuppressive medication with increased risk of severe side effects. Herein, we describe a diagnostic and therapeutic strategy that was successfully applied in a patient with gastroparesis.
我们报告了 1 例原位心脏移植受者发生严重胃轻瘫的病例。尽管心脏移植后胃轻瘫较为罕见，但它是导致严重发病率的潜在原因，包括呕吐、误吸和肺炎。此外，胃排空受损会改变免疫抑制药物的药代动力学，增加严重副作用的风险。本文描述了 1 例胃轻瘫患者成功应用的诊断和治疗策略。
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