Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA.
J Heart Lung Transplant. 2011 Jul;30(7):838-40. doi: 10.1016/j.healun.2011.03.003. Epub 2011 Apr 13.
An unusual problem associated with the use of left ventricular assist devices (LVADs) relates to malposition of the apical inflow cannula. From 2005 to 2010, we implanted 154 continuous-flow HeartMate II (Thoratec, Pleasanton, CA) LVADs at our institution. In 4 separate instances, patients appeared to have malposition of the inflow cannula that resulted in serious symptoms. All 4 patients underwent surgery to reposition the cannula. Successful outcomes were achieved for 3 of the 4 patients.
与左心室辅助装置(LVAD)使用相关的一个不常见问题与心尖部流入管的错位有关。在 2005 年至 2010 年间,我们在本院植入了 154 个连续流 HeartMate II(Thoratec,加利福尼亚州普莱森顿)LVAD。在 4 个单独的情况下,患者似乎出现了流入管错位,导致严重的症状。所有 4 名患者均接受了重新定位管的手术。其中 3 名患者的手术取得了成功。