This ended with me being taken to the ER one night with shortness of breath. I received the diagnosis of dilated cardiomyopathy – a complete surprise to me, that someone of my age and level of physical fitness would have to deal with cardiac insufficiency.
In February 2008 I was fitted with an implantable defibrillator. In addition, medication-based therapy was adjusted to a level with which I would be able to live a rather “normal” life. I completed a vocational diploma and then successfully completed my studies in Business Administration. Next, I started working for an IT company.
In August 2013 I suffered from cardiac decompensation and had to be taken once again to Emergency at the University Hospital Homburg. Since my condition did not improve, I decided in December 2013 to check myself into the hospital in order to receive treatment. On December 13, 2013, I was added to the transplantation list with an HU (high urgency) status.
After that, everything happened very quickly. Over the Christmas holiday I experienced multiple organ failure of my heart, kidneys and liver. On December 27 I was told that I would be moved to Cardiac Surgery. I had to undergo several tests, but the end result was that I needed an EXCOR® ventricular assist device from Berlin Heart. On this particular day I received temporary circulatory support and was placed in an artificial coma. On January 2, 2014, I was implanted with the EXCOR® system.
At the beginning everything felt very strange, my family and I had to get used to the device. However, every single day we took one step forward and no steps back. After a three-week rehabilitation period I was able to go home. This was possible because my family, especially my wife and I, had become technically familiarized with the EXCOR® system. Thanks to my wife, we were able to change the wound dressings at home. Her many years of experience as a doctor’s assistant at a Dermatology practice was an advantage for us.
Every four weeks I went to the hospital in Heidelberg for follow-up visits. My state of health had improved enormously. I was able to help out at home, which eased my wife's burden a bit. We went shopping together and went for walks around our neighborhood. When we had free days we enjoyed taking day trips with friends. On these occasions I was the only one who didn't want to take a break. In short, with Excor mobil a person can have a pretty normal life. It is almost like living without an EXCOR® system, but somewhat more tedious in certain situations. But I, or rather we, were able to overcome even these situations. The EXCOR® was simply there. And we are so grateful that something like this exists. It saved my life.
Then came November 2, 2015. During the morning I was in the city with my wife. Once home I laid down on the sofa to rest a bit. Suddenly, I choked and started coughing. My wife noticed immediately that something was wrong and she called the ambulance. I couldn't speak clearly anymore. A short time afterwards, an emergency team arrived. My left arm and left leg were making movements that I could not control. It quickly became clear that I was suffering from a stroke. The ambulance raced to the University Hospital in Homburg. The initial tests confirmed our suspicion and my mind slowly started to clear. I took it with good humor and told myself that I could finally be placed on the donor list under high urgency status, and I would probably receive a donor organ very soon. I remained one more week in the Stroke Unit. Then came the news we had longed for. I was transferred to Heidelberg and listed as highest priority – a small possibility in Germany of receiving a donor heart on time. During the week in the Stroke Unit, almost everything normalized again. Very little remained from the stroke, and I took the following step full of optimism. It was clear to me that, from this point on, I would only leave the hospital once I had received a donor heart. How long that would take, that was impossible to say: days, weeks or even months. I tried to make the best out of the situation, there was nothing else I could do.
My family came to visit me almost every day. We always went for a short walk first, and then went for a cup of coffee in the coffee shop. During the course of the first week, they still had to run tests in order to register me as a patient with Eurotransplant HU (highly urgent). On 18 November I came back from my walk in the late afternoon, and my treating physician came into the room and told me with a smile: "As of today, you are registered with Eurotransplant HU." He showed it to me in black on white. I was so happy that I think I even cried a few tears. From this point on it was a waiting game, waiting for a phone call and good luck.
One night in February 2016, the night nurse stood suddenly before my bed: there was an offer for a donor organ. I couldn’t believe it. This moment was anxiety-ridden for me because I knew that this would be hard, but I also knew I would be OK. When I arrived in the Surgical Dept., I was received very warmly. I knew most of the Nursing personnel well, and they were happy that it was finally my turn. The doctor told me that the team was on their way to remove the organ. The operation began at around 6 o’clock. Already one day after surgery I was weaned from the mechanical ventilation and was able to breathe independently. After two days in the ICU I was transferred to the Monitoring station. Here I took the first steps with my new heart. In the course of the week I was transferred to the regular ward.
The further course of my hospital stay was fairly free of complications and went quickly, such that we soon spoke of rehabilitation. After exactly four weeks I was able to leave the hospital and was even home for a couple of days before entering rehab. After my first operation, I had promised the personnel at the rehab clinic in Bad Schönborn that I would return after my transplantation. So it was, and rehab went very well. I could feel that my new heart was doing a great job. After my official exercises, I would go outside for a walk or sit on the ergometer. I always wanted to be doing something. The three weeks flew by.
Once I was back home I was able to relax a bit. The first year after transplantation I had to return for follow-up biopsies every four weeks. I continued exercising to achieve physical fitness. My walks became longer and faster. Jogging was not a possibility due to joint pain. Then I started riding a bike. During my third bike ride on a Saturday afternoon, I was hit on a rural road by a car, took a bad fall, and broke my left hip and my left elbow. Both required surgery. Once again, I couldn't walk well for weeks. After about six months I slowly started jogging again. Next I wanted to ride a bike again.
In April 2016 I began my professional reintegration. I was able to resume my previous job. Since June I have been working again full time, and it is no problem whatsoever. Here too, I see only advantages that are good for my psyche. Almost two years after my operation I have felt ready to go on winter vacation again. I am very satisfied with how things have progressed and, most of all, I feel strong. But I also have to work for this. I regularly engage in the type of sports that I feel are good for me. In winter I go jogging up to four times per week. In summer I spend most of my free time biking – which is primarily an endurance sport – just like a normal, healthy person.
I also think very often of my donor, I look up to the sky and can only say “Thank you”. Especially for those moments that I wouldn't have been able to experience, had it not been for his/her organ donation. Everyone should reassess their personal decision for or against organ donations, and also clearly communicate their wishes. Organ donations save lives. My life was saved by an organ donation. And NO, another man DID NOT have to die for me!
Written by Mathias K.
The access to some or all shown products may be restricted by country-specific regulatory approvals. The use of EXCOR® VAD for adults, RVAD-support, Excor mobil and EXCOR® Active is not FDA-approved.