National Pulmonary Hypertension Service, Adult Congenital Heart Centre and Centre for Pulmonary Hypertension, Royal Brompton & Harefield NHS Trust, Sydney Street, London, UK.
Thorax. 2012 Apr;67(4):368-70. doi: 10.1136/thoraxjnl-2011-200583. Epub 2012 Jan 16.
The authors report a case where four novel strategies were successfully used in the management of advanced right ventricular failure with severe pulmonary hypertension and complex adult congenital heart disease. These included combination and optimisation of three advanced therapies for pulmonary hypertension, therapeutic abdominal paracentesis, correction of underlying metabolic/endocrine disturbance and a new inotropic agent.
作者报告了一例成功应用四种新策略治疗晚期右心衰竭伴严重肺动脉高压和复杂成人先天性心脏病的病例。这些策略包括三种肺动脉高压的先进治疗方法的联合和优化、治疗性腹腔穿刺、纠正潜在的代谢/内分泌紊乱以及一种新的正性肌力药物。
