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HEART TRANSPLANTATION IN A CASE OF DILATED CARDIOMYOPATHY

HEART TRANSPLANTATION IN A CASE OF DILATED CARDIOMYOPATHY

20 year old male presented with complaints of breathlessness (NYHA class III) for the past one year. He is a known case of dilated cardiomyopathy with the history of sudden cardiac death of his sister at a young age. His echo revealed severe global hypokinesia of LV with LVEF of 15%. His 6 min walk test was low (150 meters). His right heart hemodynamic study showed a cardiac output of 3.4 lit and PVR of 9.4 wood units. Inspite of maximum medical management, his symptoms worsened and advised to undergo heart transplantation. He was worked up and registered in Tamilnadu state transplant registry. After a suitable brain dead donor was available, he was taken up for high risk heart transplantation. He underwent successful heart transplantation performed by Dr. Srinath Vijayasekharan, Dr. Senthil Kumar and Team, patient was shifted to ICU with minimal inotropes. He was extubated on POD 1. His inotropic support was gradually weaned off and shifted to ICU after one week. He remained hemodynamically stable and discharged after two weeks of surgery. 

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