Department of Cardiac Sciences, Ministry of the National Guard-Health Affairs, Riyadh, Saudi Arabia.
King Abdullah International Medical Research Centre, Riyadh, Saudi Arabia.
J Card Surg. 2021 Aug;36(8):2974-2978. doi: 10.1111/jocs.15609. Epub 2021 May 5.
Recovery of heart function during support with a durable left ventricular assist device (LVAD) is uncommon. There are few reports of cases that address eliminating the LVAD without the need for a heart transplant. Radical surgical removal of the LVAD may distort the left ventricular cavity and thus affect its function, in addition to the associated risks of the operation. Innovative ways to deactivate the LVAD, relying mainly on vascular plugs implanting in the outflow graft, have been used. Few reports have shown the success of this method. In this case report, we review the story of a young patient with advanced heart failure who underwent LVAD implantation. After six months, there was a dramatic improvement of heart function that enabled successful deactivation of the device.
在使用耐用性左心室辅助装置（LVAD）支持期间，心脏功能的恢复并不常见。很少有报道涉及在不需要心脏移植的情况下消除 LVAD。彻底的 LVAD 外科切除可能会使左心室腔变形，从而影响其功能，此外还存在手术相关的风险。已经使用了一些创新的方法来使 LVAD 失活，主要依靠在流出移植物中植入血管塞。很少有报道显示这种方法的成功。在本病例报告中，我们回顾了一位患有晚期心力衰竭的年轻患者接受 LVAD 植入的故事。六个月后，心脏功能显著改善，成功地使该装置失活。
