Mechanical Ventricular Assist System Required for Sustained Severe Cardiac Dysfunction Secondary to Peripartum Cardiomyopathy
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概要
- 論文の詳細を見る
A 29-year old woman developed severe congestive heart failure in the first week after an uneventful full-term delivery. Despite intense medical treatment over the next 6 months, her heart failure symptoms gradually worsened and she eventually developed cardiogenic shock. She successfully underwent the implantation of a left ventricular assist system, but because there was no sign of recovery of ventricular function, she was placed on the waiting list for heart transplantation. After 143 days of support, she suffered from brain hemorrhage, and eventually died after a total of 321 days of left ventricular support. Postmortem examination of the myocardium showed sustained diffuse fibrosis and no inflammatory reaction. This case implies that with severe peripartum cardiomyopathy heart transplantation should be considered without delay even if a mechanical assist system is available. (Circ J 2005; 69: 362 - 364)
- 社団法人日本循環器学会の論文
- 2005-02-20
著者
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Matsuda H
Department Of Cardiovascular Surgery Hyogo Medical College
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Sawa Yoshiki
Department Of Cardiovascular Surgery Osaka Graduate School Of Medicine
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Matsumiya Goro
Division Of Cardiovascular Surgery Department Of Surgery Osaka University Graduate School Of Medicin
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FUKUSHIMA Norihide
Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine
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MIYAMOTO Yuji
Department of Cardiovascular Surgery, Hyogo College of Medicine
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Monta Osamu
Division Of Cardiovascular Surgery Department Of Surgery Osaka University Graduate School Of Medicin
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Miyamoto Yuji
Department Of Cardiovascular Surgery Hyogo College Of Medicine
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Fukushima Norihide
Division Of Cardiovascular Surgery Department Of Surgery Osaka University Graduate School Of Medicin
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Matsuda Hikaru
Department Of Cardiology Osaka University Graduate School Of Medicine
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Miyamoto Yuji
Osaka university graduate school of medicine
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Fukushima Norihide
First Department Of Surgery Osaka University Medical School
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Hori Masatsugu
Department Of Radiology National Center Hospital For Mental Nervous And Muscular Disorders National
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Miyamoto Yuji
First Department Of Surgery Osaka University Medical School
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