Atiemo Andrew D, Conte John V, Heldman Alan W
Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Catheter Cardiovasc Interv. 2006 Jul;68(1):78-82. doi: 10.1002/ccd.20691.
A number of techniques have been proposed for circulatory support in patients with severe right heart failure. We report on a patient with right ventricular (RV) infarction complicated by cardiogenic shock, who was resuscitated by the novel use of a percutaneous right ventricular assist device. The moribund patient had striking hemodynamic and clinical improvement after placement of a right atrial to pulmonary artery assist circuit. RV decompression for 3 days was accompanied by recovery of contractile function, and the patient was successfully weaned from the device. Future trials are needed to assess the effectiveness of the percutaneous ventricular assist device in patients with RV failure.
针对严重右心衰竭患者的循环支持，已经提出了多种技术。我们报告了一名右心室梗死并发心源性休克的患者，该患者通过新型经皮右心室辅助装置的使用得以复苏。在植入右心房至肺动脉辅助回路后，这位垂危患者的血流动力学和临床状况有了显著改善。右心室减压3天后，收缩功能恢复，患者成功撤机。未来需要进行试验，以评估经皮心室辅助装置在右心室衰竭患者中的有效性。
