García Sáez Diana, Mohite Prashant, Zych Bartlomeij, Sabashnikov Anton, Simon André R
Department of Cardiothoracic Transplantation and Mechanical Support, Royal Brompton and Harefield NHS Trust, Harefield Hospital, Harefield, Middlesex, UK.
Interact Cardiovasc Thorac Surg. 2013 Jun;16(6):888-9. doi: 10.1093/icvts/ivt066. Epub 2013 Feb 26.
Despite technological advances in a newer generation of ventricular assist devices (VAD), complications, such as pump thromboses, remain a significant cause of morbidity and indeed mortality in these patients. We present the case of a 34-year old patient who underwent HeartAssist 5 (HA5) implantation as a bridge to cardiac transplant. After an initial uneventful recovery, he developed a pump thrombosis that was refractory to medical treatment. We present the surgical technique used to exchange the HA5 with a HeartWare (HVAD), leaving the old inflow-sewing ring in situ.
尽管新一代心室辅助装置(VAD)在技术上取得了进步,但诸如泵血栓形成等并发症仍然是这些患者发病和死亡的重要原因。我们报告了一例34岁患者的病例,该患者接受了HeartAssist 5(HA5)植入作为心脏移植的过渡治疗。在最初恢复顺利后,他出现了药物治疗无效的泵血栓形成。我们介绍了将HA5更换为HeartWare(HVAD)的手术技术,旧的流入缝合环保留原位。