Tandler Rene, Kondruweit Markus, Fischlein Theodor, Weyand Michael
Department of Cardiac Surgery, University of Erlangen-Nuremberg, Erlangen, Germany.
ASAIO J. 2007 Jan-Feb;53(1):e1-4. doi: 10.1097/01.mat.0000249853.98763.8b.
The presence of a mechanical heart valve in the aortic position is usually considered a contraindication for the use of cardiac assist devices. Only a few cases with the combination of mechanical circulatory support and valve prostheses have been reported in the literature to date, and the experience is even more limited in the new generation of miniaturized axial flow pumps. We present a case report of a patient with a mechanical aortic heart valve who was successfully supported with a continuous flow pump and discuss the literature available on this problem. Further on, the patient was weaned from his ventricular assist device after 456 days of support.
主动脉位置存在机械心脏瓣膜通常被认为是使用心脏辅助装置的禁忌症。迄今为止，文献中仅报道了少数机械循环支持与瓣膜假体联合使用的病例，在新一代小型轴流泵方面的经验甚至更为有限。我们报告一例患有机械主动脉心脏瓣膜的患者成功接受连续流泵支持的病例，并讨论关于这个问题的现有文献。此外，该患者在接受支持456天后撤离了心室辅助装置。
