Biventricular assist device (BVAD) has been shown to be effective for bridge to heart transplantation with an acceptability low incidence of adverse effects in critically ill heart failure patients. We report the case of a 44-year-old man with severe acute ischemic heart failure who was supported with the Thoratec paracorporeal biventricular assist system. After an initial uneventful postoperative course the patient experienced a splenic rupture which required a splenectomy. The pathological mechanism of this outcome remains unclear. Two months after discharge, the patient underwent heart transplantation and had no postsplenectomy sepsis or thrombotic complications at the last follow-up.

译文

:双心室辅助设备(BVAD)已被证明可有效地用于心脏移植,对于重症心力衰竭患者,不良反应的发生率较低,可以接受。我们报道了一个有严重急性缺血性心力衰竭的44岁男子的病例,该病人得到了Thoratec体外双心室辅助系统的支持。经过最初的平稳手术后,患者经历了脾破裂,需要进行脾切除术。这种结果的病理机制仍不清楚。出院后两个月,该患者接受了心脏移植,并且在最后一次随访中没有脾切除术后败血症或血栓并发症。

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