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使用经皮心室辅助装置治疗严重主动脉瓣狭窄所致的心源性休克。

Use of a percutaneous ventricular assist device for treatment of cardiogenic shock due to critical aortic stenosis.

作者信息

Frank Christopher M, Palanichamy Nanthini, Kar Biswajit, Wilson James M, Gregoric Igor D, Loyalka Pranav, Civitello Andrew B

机构信息

Department of Cardiology, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas 77030, USA.

出版信息

Tex Heart Inst J. 2006;33(4):487-9.

PMID:17215976
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1764950/
Abstract

We present the case of a 72-year-old woman who was transferred to our institution in cardiogenic shock and with multiple-organ failure, due to critical aortic stenosis. She was considered too high-risk to undergo aortic valve replacement. A TandemHeart percutaneous ventricular assist device was used to stabilize the patient's condition before surgery, and she subsequently underwent successful aortic valve replacement. To our knowledge, this is the 1st report in the literature of this particular application of the TandemHeart device.

摘要

我们报告了一例72岁女性患者，因严重主动脉瓣狭窄，在发生心源性休克并伴有多器官功能衰竭的情况下被转至我院。她被认为进行主动脉瓣置换术的风险过高。在手术前，使用了TandemHeart经皮心室辅助装置来稳定患者病情，随后她成功接受了主动脉瓣置换术。据我们所知，这是该TandemHeart装置这一特殊应用在文献中的首次报道。

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Use of a percutaneous ventricular assist device for treatment of cardiogenic shock due to critical aortic stenosis.使用经皮心室辅助装置治疗严重主动脉瓣狭窄所致的心源性休克。
Tex Heart Inst J. 2006;33(4):487-9.
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引用本文的文献

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[Patients in the intensive care unit with valvular diseases].重症监护病房中患有瓣膜疾病的患者
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Extracorporeal membrane oxygenation with hemoconcentration: in a hypervolemic patient with critical aortic stenosis.伴有血液浓缩的体外膜肺氧合：用于一名患有严重主动脉瓣狭窄的高血容量患者。
Tex Heart Inst J. 2011;38(5):565-7.

本文引用的文献

1
High-risk left main coronary stenting supported by percutaneous left ventricular assist device.经皮左心室辅助装置支持下的高危左主干冠状动脉支架置入术。
Catheter Cardiovasc Interv. 2005 Oct;66(2):209-12. doi: 10.1002/ccd.20466.
2
Emergency balloon aortic valvuloplasty in patients with critical aortic stenosis presenting with cardiogenic shock.患有严重主动脉瓣狭窄并出现心源性休克的患者的急诊球囊主动脉瓣成形术。
Ital Heart J. 2005 May;6(5):420-3.
3
Hemodynamic support with a percutaneous left ventricular assist device during stenting of an unprotected left main coronary artery.在无保护左主干冠状动脉支架置入期间使用经皮左心室辅助装置进行血流动力学支持。
Tex Heart Inst J. 2004;31(1):84-6.
4
Successful emergency aortic valve replacement following percutaneous cardiopulmonary support for the patient with aortic stenosis and cardiac arrest.对于患有主动脉瓣狭窄和心脏骤停的患者，在经皮心肺支持后成功进行急诊主动脉瓣置换术。
Jpn J Thorac Cardiovasc Surg. 2003 Aug;51(8):381-3. doi: 10.1007/BF02719472.
5
Clinical introduction of the Tandemheart, a percutaneous left ventricular assist device, for circulatory support during high-risk percutaneous coronary intervention.经皮左心室辅助装置Tandemheart在高危经皮冠状动脉介入治疗期间用于循环支持的临床应用。
Int J Cardiovasc Intervent. 2003;5(1):35-9. doi: 10.1080/14628840304611.
6
Usefulness of percutaneous left ventricular assistance to support high-risk percutaneous coronary interventions.经皮左心室辅助支持高危经皮冠状动脉介入治疗的效用。
Am J Cardiol. 2003 Feb 15;91(4):479-81. doi: 10.1016/s0002-9149(02)03254-x.
7
Reversal of cardiogenic shock by percutaneous left atrial-to-femoral arterial bypass assistance.经皮左心房至股动脉旁路辅助逆转心源性休克
Circulation. 2001 Dec 11;104(24):2917-22. doi: 10.1161/hc4901.100361.
8
Efficacy of balloon valvuloplasty in patients with critical aortic stenosis and cardiogenic shock--the role of shock duration.球囊瓣膜成形术在重症主动脉瓣狭窄合并心源性休克患者中的疗效——休克持续时间的作用
Clin Cardiol. 2001 Mar;24(3):214-8. doi: 10.1002/clc.4960240308.
9
Percutaneous cardiopulmonary support as a bridge to emergency operation--two surviving cases.经皮心肺支持作为紧急手术的桥梁——两例存活病例
Jpn Circ J. 2000 Jul;64(7):528-32. doi: 10.1253/jcj.64.528.
10
Coronary angioplasty in high risk patients: comparison of elective intraaortic balloon pump and percutaneous cardiopulmonary bypass support--a randomized study.高危患者的冠状动脉血管成形术：择期主动脉内球囊反搏与经皮心肺转流支持的比较——一项随机研究。
J Interv Cardiol. 1995 Apr;8(2):199-205. doi: 10.1111/j.1540-8183.1995.tb00532.x.