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David A. Fullerton
David N. Campbell
Stephen D. Jones
Frederick L. Grover
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Ann Thorac Surg 1995;60:1409-1411
© 1995 The Society of Thoracic Surgeons

Case Reports

Cardiac Allograft Failure: Successful Use of Biventricular Assist Device

James Jaggers, MD, David A. Fullerton, MD, David N. Campbell, MD, Bruce Andrea, MD, Stephen D. Jones, MD, James M. Brown, MD, Eugene E. Wolfel, MD, Joann Lindenfeld, MD, Frederick L. Grover, MD, Michael R. Bristow, MD, PhD

Departments of Surgery and Medicine, University of Colorado Health Sciences Center, Denver, Colorado

Accepted for publication May 1, 1995.

Nonspecific primary allograft dysfunction is an important cause of perioperative death in cardiac transplant recipients. We report a case of severe nonspecific allograft dysfunction that was ultimately reversible after 18 days of biventricular mechanical circulatory support. Allograft recovery was echocardiographically recognized by a positive inotropic response to isoproterenol and milrinone. This case illustrates the potential for recovery of even extreme allograft dysfunction.






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Copyright © 1995 by The Society of Thoracic Surgeons.