Masai T, Sakakibara T, Watanabe S, Kodama K, Kaneko M, Matsuda H
Department of Cardiovascular Surgery, Osaka Police Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1991 Jul;39(7):1081-6.
A closed system of percutaneous cardiopulmonary bypass (PCPB) with centrifugal pump and membrane oxygenator was applied for 2 patients with circulatory collapse caused by acute reclosure of left anterior descending coronary artery after PTCA in case 1 and acute myocardial infarction due to left main coronary artery lesion in case 2. Both patients were brought to operating room under the circulatory support of PCPB and successful coronary artery bypass was performed. Case 1 survived and case 2 died from sepsis due to mediastinitis inspite of satisfactory recovery of cardiac function. PCPB was confirmed as a useful method for emergency circulatory support and a bridge to cardiac surgery in patients with cardiogenic circulatory collapse.
采用带有离心泵和膜式氧合器的经皮心肺旁路（PCPB）封闭系统，对2例患者进行治疗。病例1为PTCA术后左前降支冠状动脉急性再闭塞导致循环衰竭；病例2为左主干冠状动脉病变所致急性心肌梗死。两名患者均在PCPB循环支持下被送入手术室，并成功进行了冠状动脉搭桥术。病例1存活，病例2尽管心功能恢复良好，但因纵隔炎引起的败血症死亡。PCPB被证实是心源性循环衰竭患者紧急循环支持和心脏手术桥梁的一种有用方法。
