As incredible as it may sound, an American
teenage girl has survived for nearly four months without her own heart after
being kept alive by a custom-built artificial blood-pumping device. Although adults have been kept alive in such
way, Miami
doctors believe this it this the first time someone of that age has been kept
alive for this time interval without a heart.
D’Zhana Simmons, 14, from South
Carolina, USA,
suffered from dilated cardiomyopathy; her heart became weakened and enlarged,
failing to pump blood efficiently. D’Zhana had a heart transplant on July 2 at Miami’s Holtz Children’s Hospital
but the new heart failed to function properly and was quickly removed. Doctors
implanted two heart pumps made by Thoratec Corp of Pleasanton, California, to keep
her blood flowing as she battled a series of complications including kidney and
liver failure, gastrointestinal bleeding and breathing difficulties. The first
two months were very difficult, but she was strong enough to survive four
months until October 29, when doctors implanted a compatible human heart.
“She essentially lived for 118 days without
a heart, with her circulation supported only by the two blood pumps,” said Dr
Marco Ricci, the hospital's director of paediatric cardiac surgery.
She described the experience of living for
so long without her heart and with a machine pumping her blood as “scary.”
“You never knew when it would malfunction,”
the lucky patient said at a news conference at the University of Miami/Jackson
Memorial Medical Center. “It was like I was a fake person, like I didn't really
exist. I was just here.”
D’Zhana thanked the doctors who saved her
life trough heart transplant and said that now she is grateful for small things,
such as seeing her five siblings and spending time outdoors. The teenager said
she was glad she could walk without the machine.
Doctors say she will be on lifelong
medication to keep her body from rejecting the donated heart, and there’s a
50-50 chance she’ll need another transplant before she turns 30.
Dr. Marco Ricci, director of pediatric
cardiac surgery at the University
of Miami said that in the
past this situation could have been lethal. It’s rarer for children than it is
for adults to have these life-threatening conditions. It was only reported that
one adult without a heart in Germany
had been kept alive for nine months. This is one of the reasons why companies
don’t invest into technology that could help pediatric patients.
Dilated cardiomyopathy or DCM is a
condition in which the heart becomes weakened and enlarged, and cannot pump
blood efficiently. The decreased heart function can affect the lungs, liver,
and other body systems. The disease primarily affects the myocardium (the
muscle of the heart). Dilated cardiomyopathy, also known as congestive cardiomyopathy,
occurs more frequently in men than in women.