Division of Cardiology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Korean Circ J. 2011 Jul;41(7):402-4. doi: 10.4070/kcj.2011.41.7.402. Epub 2011 Jul 30.
A 28-year-old male with hemophagocytic lymphohistiocytosis presented with left ventricular dysfunction and cardiac arrest. Percutaneous cardiopulmonary support (PCPS) was initiated, but left heart distension developed with associated aggravation of pulmonary edema. Percutaneous transseptal left atrial sheath (28-Fr) drainage was incorporated into the PCPS venous circuit under fluoroscopic guidance to enable left heart decompression 1 days after PCPS initiation. The patient's pulmonary edema improved markedly, and distention of his left heart diminished. He was successfully weaned from PCPS 5 days later. Percutaneous transseptal left atrial drainage with large venous cannulae is feasible and effective in decompressing the left heart in adult patients during PCPS.
一位 28 岁男性因噬血细胞性淋巴组织细胞增多症导致左心室功能障碍和心脏骤停。开始进行经皮心肺支持（PCPS），但出现左心扩张，并伴有肺水肿加重。在透视引导下，将经皮经房间隔左心房鞘（28Fr）引流纳入 PCPS 静脉回路，以便在 PCPS 开始后 1 天对左心进行减压。患者肺水肿明显改善，左心扩张减轻。5 天后成功脱离 PCPS。在成人患者 PCPS 期间，使用大静脉插管进行经皮房间隔左心房引流是可行且有效的，可以对左心进行减压。
