LVAD as a Bridge to Heart Transplantation in a Patient with Left Ventricular Noncompaction Cardiomyopathy and Advanced Heart Failure
DOI:
https://doi.org/10.1532/hsf.1563Abstract
Left ventricular noncompaction cardiomyopathy (LVNC) is a rare hereditary cardiomyopathy characterized by the formation of an outer compacted and inner noncompacted layer of the myocardium. The latter is characterized by prominent trabeculations and deep intertrabecular recesses and is functionally inferior to the compacted myocardium. As there is no specific treatment for patients with LVNC who develop heart failure, the management of these patients is limited and many patients progress to advanced stages of the disease. For LVNC patients with advanced heart failure, the data regarding the use of mechanical circulatory support are scarce. We report a case of a 29-year-old patient with LVNC and advanced refractory heart failure, who was successfully bridged to heart transplantation using a long-term continuous-flow left ventricular assist device.References
ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012. The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. 2012. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. Eur Heart J 33:1787-847.
Ichida F, Hanamichi Y, Miyawaki T, et al. 1999. Clinical features of isolated noncompaction of the ventricular myocardium: long-term clinical course, hemodynamic properties, and genetic background. J Am Coll Cardiol 34:233-40.
Jenni R, Oechslin E, Schneider J, et al. 2001. Echocardiographic and pathoanatomical characteristics of isolated left ventricular non-compaction: a step towards classification as a distinct cardiomyopathy. Heart 86:666-71.
Paterick TE, Umland MM, Fuad Jan M, et al. 2012. Left ventricular noncompaction: A 25-Year Odyssey. J Am Soc Echocardiogr 24:363-75.
Ritter M, Oechslin E, Sutsch G, et al. 1997. Isolated noncompaction of the myocardium in adults. Mayo Clin Proc 72:26-31.
Slaughter MS, Rogers JG, Milano CA, et al. 2009. Advanced heart failure treated with continuous-flow left ventricular assist device. N Engl J Med 361:2241-51.