Clinics for Cardiovascular Surgery Cardiology, Pneumology and Angiology, Heinrich-Heine University of Düsseldorf, Moorenstrasse 5, Düsseldorf, Germany.
Artif Organs. 2012 Aug;36(8):751-3. doi: 10.1111/j.1525-1594.2012.01473.x. Epub 2012 May 20.
Postoperative bleeding is the most common complication following the implantation of ventricular assist devices. This is a case report of a HeartWare HVAD patient with intractable bleeding following chest tube insertion necessitating massive blood transfusion and multiple thoracotomies. Anticoagulation and antiplatelet therapy were discontinued and intravenous NovoSeven was administered as last resort. Bleeding ceased immediately and no pump-related issues were observed. However, thrombus formation in the right atrium and superior vena cava was detected.
术后出血是心室辅助装置植入后最常见的并发症。这是一例 HeartWare HVAD 患者的病例报告，该患者在插入胸腔引流管后出现难治性出血，需要大量输血和多次开胸手术。停止抗凝和抗血小板治疗，并作为最后手段给予静脉注射诺其。出血立即停止，未观察到与泵相关的问题。然而，检测到右心房和上腔静脉形成血栓。
