Ottervanger J P, de Feijter P, Gardien M, Serruys P W
Erasmus Medisch Centrum, afd. Cardiologie, Dr. Molewaterplein 40, 3015 GD Rotterdam.
Ned Tijdschr Geneeskd. 2003 Jan 25;147(4):164-6.
A 54-year-old man who was admitted due to cardiogenic shock as a result of a large anterior myocardial infarction 3 days previously was about to die, despite reperfusion therapy, application of an intra-aortic balloon pump, mechanical ventilation and maximal medical therapy. After insertion of a percutaneous left ventricular assist device, the patient was haemodynamically stable. After 11 days, the assist device was weaned and was removed. One day later, the patient died due to progressive heart failure. This case shows that a percutaneously inserted left ventricular assist device is effective in patients with severe, refractory cardiogenic shock, and is relatively simple to insert in the heart catheterisation room. However, it is still not clear what the recovery possibilities of the heart are following a large myocardial infraction, which factors may influence this recovery, and what the applicability of such a ventricular assist device might be in bridging the recovery period.
一名54岁男性，3天前因大面积前壁心肌梗死导致心源性休克入院，尽管接受了再灌注治疗、主动脉内球囊反搏、机械通气及最大程度的药物治疗，仍濒临死亡。在植入经皮左心室辅助装置后，患者血流动力学稳定。11天后，辅助装置撤离并移除。一天后，患者因进行性心力衰竭死亡。该病例表明，经皮插入的左心室辅助装置对严重难治性心源性休克患者有效，且在心脏导管室插入相对简单。然而，大面积心肌梗死后心脏的恢复可能性如何、哪些因素可能影响这种恢复以及这种心室辅助装置在恢复期的桥接应用适用性如何仍不清楚。
