Gon Shigeyoshi, Suematsu Yoshihiro, Morizumi Sei, Shimizu Tsuyoshi
Department of Cardiovascular Surgery, Tsukuba Memorial Hospital, Tsukuba, Japan.
Kyobu Geka. 2011 Mar;64(3):216-9.
A 19-year-old woman suffered from fulminant myocarditis by Mycoplasma infection, and intra-aortic balloon pumping (IABP) and percutaneous cardiopulmonary support (PCPS) were initiated. As the cardiac function was not recovered, the ventricular assist device (VAS) was implanted. Rehabilitation training was started such as maintaining standing position at the bedside, and walking. The preparatory training program for homecoming was conducted twice with VAS. She strongly hoped for participation of coming-of-age ceremony in Tachikawa City that is 3 hours' drive from our hospital. The patient stayed 1 night at home with a doctor and a medical engineer. There was no adverse event. In Japan, the community support of patients with VAS is not yet established and we hope that our experience will be of some help in supporting the homecoming of patients with VAS.
一名19岁女性因支原体感染患上暴发性心肌炎，开始接受主动脉内球囊反搏（IABP）和经皮心肺支持（PCPS）治疗。由于心功能未恢复，植入了心室辅助装置（VAS）。开始进行康复训练，如在床边维持站立姿势和行走。在使用VAS的情况下，两次进行了回家准备训练项目。她强烈希望参加距离我院3小时车程的立川市成人礼。患者在医生和医疗工程师陪同下在家住了一晚。未发生不良事件。在日本，VAS患者的社区支持尚未建立，我们希望我们的经验能对支持VAS患者回家有所帮助。
