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

Articles

Cardiac allograft failure: successful use of biventricular assist device

MD 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, PhD Michael R. Bristow

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

Accepted for publication May 1, 1995.

* Address reprint requests to Dr Fullerton, Cardiothoracic Surgery, C-310, University of Colorado Health Sciences Center, 4200 E 9th Ave, Denver, CO 80262.

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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