Ventricular assistance after tricuspid valve replacement for carcinoid heart disease

T Njambou Mbakop, P Weyers, E Van de Steen, J N Georis, B Denis, P Bettendorf
Annales de Cardiologie et D'angéiologie 2009, 58 (4): 248-50
We report a case of a 71-year-old woman with carcinoid heart disease admitted in ICU after tricuspid valve replacement. She quickly developed a acute heart right failure. Optimal medical treatment failed and we implanted ventricular assistance. After 10 days of support, patient improved and the right ventricle recovered. Temporary devices can provide a successful bridge to cardiac recovery. However, the risk of infection that is a major prognosis factor should be carefully considered particularly when temporary assistance implanted on immunosuppressed patients.

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