Murakawa Tomohiro, Murayama Tomonori, Nakajima Jun, Ono Minoru
Department of Thoracic Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
Interact Cardiovasc Thorac Surg. 2011 Dec;13(6):676-8. doi: 10.1510/icvts.2011.281493. Epub 2011 Sep 4.
Non-cardiac surgical procedures in patients with left ventricular assist devices (LVADs) pose a special challenge given the hemodynamic and hematologic considerations in these patients. During pulmonary procedures in patients with LVADs, special attention should be paid to hemodynamics because lung resection surgery requires a lateral decubitus position, single-lung ventilation and postoperative decrease in the pulmonary vascular bed, all of which may lead to inadequate preload to the LVAD. We present a case of lower lobectomy of the left lung for an adenocarcinoma found in a patient with an implantable continuous-flow LVAD.
对于植入左心室辅助装置（LVAD）的患者而言，非心脏外科手术因这些患者的血流动力学和血液学因素而带来特殊挑战。在植入LVAD的患者进行肺部手术期间，应特别关注血流动力学，因为肺切除手术需要侧卧位、单肺通气以及术后肺血管床减少，所有这些都可能导致LVAD的前负荷不足。我们报告一例在植入可植入式连续流LVAD的患者中发现腺癌而行左肺下叶切除术的病例。
