Kobayashi T, Imagawa H, Satoh H, Yoshino T, Fudemoto Y, Matsuwaka R
Department of Cardiovascular Surgery, Center for Adult Diseases, Osaka, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1991 Jun;39(6):924-9.
Biventricular assist support (BVAS) with centrifugal pump was used for the treatment of 48 y/o male patient with cardiogenic shock following coronary bypass surgery. Assist flow was 2 to 4 l/min in LVAS and 2 to 3 l/min in RVAS. RVAS was weaned in the fourth postoperative day and LVAS in the sixth. Cerebral infarction developed in the weaning period of LVAS. Post operative examination revealed good right and left ventricular function. Patient was well and returned to full work in a two years and two months after surgery. BVAS may be useful for the treatment of severe biventricular failure associated with stunned myocardium.
采用带离心泵的双心室辅助支持（BVAS）治疗一名48岁男性患者，该患者在冠状动脉搭桥手术后发生心源性休克。左心室辅助支持（LVAS）的辅助流量为2至4升/分钟，右心室辅助支持（RVAS）的辅助流量为2至3升/分钟。术后第4天停用RVAS，第6天停用LVAS。在LVAS撤离期发生了脑梗死。术后检查显示左、右心室功能良好。患者情况良好，术后两年零两个月后恢复了全职工作。BVAS可能对治疗与心肌顿抑相关的严重双心室衰竭有用。
