Heart Transplantation as a Treatment Method for Refractory Heart Failure due to Post-myocarditis Dilated Cardiomyopathy: a Clinical Case
Background. Implementation of mechanical circulatory support and heart transplantation technologies in paediatric clinical practice is changing approaches of diagnostics and treatment of heart failure (HF) in children. The experience of carrying out such operations in Russian Federation is extremely...
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| Format: | Article |
| Language: | English |
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"Paediatrician" Publishers LLC
2019-06-01
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| Series: | Вопросы современной педиатрии |
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| Online Access: | https://vsp.spr-journal.ru/jour/article/view/2078 |
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| author | Larisa A. Balykova Elena I. Naumenko Nataljya V. Ivyanskaya Yulia A. Petrushkina Ekaterina A. Vlasova Nadezhda N. Urzjaeva Irina V. Leontieva Anna N. Urzjaeva |
| author_facet | Larisa A. Balykova Elena I. Naumenko Nataljya V. Ivyanskaya Yulia A. Petrushkina Ekaterina A. Vlasova Nadezhda N. Urzjaeva Irina V. Leontieva Anna N. Urzjaeva |
| author_sort | Larisa A. Balykova |
| collection | DOAJ |
| description | Background. Implementation of mechanical circulatory support and heart transplantation technologies in paediatric clinical practice is changing approaches of diagnostics and treatment of heart failure (HF) in children. The experience of carrying out such operations in Russian Federation is extremely limited until recently due to absence of legal mechanisms of people declaration of intention recording about postmortal use of organs for transplantation.Clinical Case Description. The rare clinical case of drug-refractory (cardiotonic agents and cardioverter defibrillator implantation) chronic cardiac failure caused by post-myocarditis dilated cardiomyopathy (DCM) which demanded heart transplantation. Postoperative course, specific and non-specific complications, diagnostics and correction approaches are described.Conclusion. In the absence of proper analysis of non-specific slight symptoms myocarditis can progress to DCM and be complicated by development of refractory HF. The only method of sustaining child’s life in such case is heart transplantation which is connected with high risk of numerous and life-threatening complications. |
| format | Article |
| id | doaj-art-bb5aeae26c8b4e78a042bf8cc2a27d26 |
| institution | Matheson Library |
| issn | 1682-5527 1682-5535 |
| language | English |
| publishDate | 2019-06-01 |
| publisher | "Paediatrician" Publishers LLC |
| record_format | Article |
| series | Вопросы современной педиатрии |
| spelling | doaj-art-bb5aeae26c8b4e78a042bf8cc2a27d262025-08-04T13:09:39Zeng"Paediatrician" Publishers LLCВопросы современной педиатрии1682-55271682-55352019-06-0118212513310.15690/vsp.v18i2.20151809Heart Transplantation as a Treatment Method for Refractory Heart Failure due to Post-myocarditis Dilated Cardiomyopathy: a Clinical CaseLarisa A. Balykova0Elena I. Naumenko1Nataljya V. Ivyanskaya2Yulia A. Petrushkina3Ekaterina A. Vlasova4Nadezhda N. Urzjaeva5Irina V. Leontieva6Anna N. Urzjaeva7Mordovia State University n.a. OgarevMordovia State University n.a. OgarevMordovia Republic Children’s HospitalSechenov First Moscow State Medical University (Sechenov University)Mordovia State University n.a. OgarevSechenov First Moscow State Medical University (Sechenov University)Veltischev Research and Clinical Institute for Pediatrics of the Pirogov Russian National Research Medical UniversityMordovia State University n.a. OgarevBackground. Implementation of mechanical circulatory support and heart transplantation technologies in paediatric clinical practice is changing approaches of diagnostics and treatment of heart failure (HF) in children. The experience of carrying out such operations in Russian Federation is extremely limited until recently due to absence of legal mechanisms of people declaration of intention recording about postmortal use of organs for transplantation.Clinical Case Description. The rare clinical case of drug-refractory (cardiotonic agents and cardioverter defibrillator implantation) chronic cardiac failure caused by post-myocarditis dilated cardiomyopathy (DCM) which demanded heart transplantation. Postoperative course, specific and non-specific complications, diagnostics and correction approaches are described.Conclusion. In the absence of proper analysis of non-specific slight symptoms myocarditis can progress to DCM and be complicated by development of refractory HF. The only method of sustaining child’s life in such case is heart transplantation which is connected with high risk of numerous and life-threatening complications.https://vsp.spr-journal.ru/jour/article/view/2078childrenmyocarditisdilated cardiomyopathyheart failureheart transplantationdiagnosticstreatmentmcsmechanical circulatory supportcomplicationscardioverter defibrillatorriskclinical case |
| spellingShingle | Larisa A. Balykova Elena I. Naumenko Nataljya V. Ivyanskaya Yulia A. Petrushkina Ekaterina A. Vlasova Nadezhda N. Urzjaeva Irina V. Leontieva Anna N. Urzjaeva Heart Transplantation as a Treatment Method for Refractory Heart Failure due to Post-myocarditis Dilated Cardiomyopathy: a Clinical Case Вопросы современной педиатрии children myocarditis dilated cardiomyopathy heart failure heart transplantation diagnostics treatment mcs mechanical circulatory support complications cardioverter defibrillator risk clinical case |
| title | Heart Transplantation as a Treatment Method for Refractory Heart Failure due to Post-myocarditis Dilated Cardiomyopathy: a Clinical Case |
| title_full | Heart Transplantation as a Treatment Method for Refractory Heart Failure due to Post-myocarditis Dilated Cardiomyopathy: a Clinical Case |
| title_fullStr | Heart Transplantation as a Treatment Method for Refractory Heart Failure due to Post-myocarditis Dilated Cardiomyopathy: a Clinical Case |
| title_full_unstemmed | Heart Transplantation as a Treatment Method for Refractory Heart Failure due to Post-myocarditis Dilated Cardiomyopathy: a Clinical Case |
| title_short | Heart Transplantation as a Treatment Method for Refractory Heart Failure due to Post-myocarditis Dilated Cardiomyopathy: a Clinical Case |
| title_sort | heart transplantation as a treatment method for refractory heart failure due to post myocarditis dilated cardiomyopathy a clinical case |
| topic | children myocarditis dilated cardiomyopathy heart failure heart transplantation diagnostics treatment mcs mechanical circulatory support complications cardioverter defibrillator risk clinical case |
| url | https://vsp.spr-journal.ru/jour/article/view/2078 |
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