Peritoneal dialysis as bridge therapy to heart transplantation
█ Case report
DOI: 10.26430/CHUNGARICA.2018.48.3.184
Authors:
Szegedi Andrea1, P. Szabó Réka2, Pethő Ákos3, Kertész Attila1, Maros Tamás1, Borbély Attila1, Édes István1, Csanádi Zoltán1
1Debreceni Egyetem, Klinikai Központ, Kardiológia és Szívsebészeti Klinika, Debrecen
2Debreceni Egyetem, Klinikai Központ, Sebészeti Intézet, Debrecen
3Semmelweis Egyetem, I. sz. Belgyógyászati Klinika, Budapest
Summary
A 53-year old male patient suffering from ischaemic cardiomyopathy underwent coronary bypass operation showed progressive signs of cardiac decompensation and deterioration of left ventricular (LV) ejection fraction despite optimal medical treatment. The patient was hospitalized several times because of recurrent peripheral oedema, which proved to be refractory to diuretic treatment. Therefore peritoneal dialysis (PD) was initiated. Through regular (three times daily) fluid exchange renal function improved, which was accompanied by a remarkable reduction in the body weight and a significant improvement of LV systolic and diastolic function. Moreover, subsequent Swan-Ganz catheterizations showed a significant decrease in the pulmonary vascular resistance. After the initiation of the PD, the patient did not require hospitalization for worsening heart failure and underwent successful heart transplantation.
ISSUE: CARDIOLOGIA HUNGARICA | 2018 | VOLUME 48, ISSUE 3
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