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生物人工主动脉瓣置入术后植入Abiomed Impella®左心室辅助装置。

Insertion of an Abiomed Impella® left ventricular assist device following bioprosthetic aortic valve placement.

作者信息

Thomas Matthew P, Altman Ashley, Magovern George J, Moraca Robert J

机构信息

Department of Thoracic and Cardiovascular Surgery, Allegheny General Hospital, Pittsburgh, Pennsylvania 15212, USA.

出版信息

J Card Surg. 2013 Jul;28(4):469-71. doi: 10.1111/jocs.12118. Epub 2013 May 15.

DOI:10.1111/jocs.12118
PMID:23675749
Abstract

BACKGROUND

Post-cardiotomy cardiogenic shock is an infrequent devastating complication with few options for support.

MATERIALS AND METHODS

We present a case highlighting use of the Impella 5.0 (ABIOMED; Danvers, MA) for postcardiotomy cardiogenic shock after coronary artery bypass and bioprosthetic aortic valve replacement.

RESULTS

Support was maintained for 7 days before being successfully weaned with myocardial recovery and no damage to the bioprosthetic aortic valve.

CONCLUSIONS

This is the first published report of successful use of an Impella 5.0 (ABIOMED; Danvers, MA) for post-cardiotomy cardiogenic shock through a new implanted bioprosthetic aortic valve.

摘要

背景

心脏术后心源性休克是一种罕见的毁灭性并发症,支持治疗选择有限。

材料与方法

我们报告一例病例,突出展示了在冠状动脉搭桥术和生物人工主动脉瓣置换术后,使用Impella 5.0(美国马萨诸塞州丹弗斯市ABIOMED公司)治疗心脏术后心源性休克的情况。

结果

维持支持治疗7天,随后成功撤机,心肌恢复,生物人工主动脉瓣未受损。

结论

这是首次发表的关于通过新植入的生物人工主动脉瓣成功使用Impella 5.0(美国马萨诸塞州丹弗斯市ABIOMED公司)治疗心脏术后心源性休克的报告。

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