DeNino Wf, Yeager Cj, Steinberg Dh, Toole Jm, Shackelford Ag, Peura Jl
Division of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, SC 29425, USA.
Perfusion. 2013 Sep;28(5):449-51. doi: 10.1177/0267659113491777. Epub 2013 Jun 6.
A 67-year-old male presented in cardiogenic shock and multi-system organ failure requiring emergent venous-arterial extracorporeal membrane oxygenation (ECMO). He was deemed ineligible for heart transplantation and a left ventricular assist device (LVAD) was thought to be high risk due to persistent right heart failure. To determine if he could tolerate left ventricular support alone, a trans-septal cannula was placed via the left femoral vein. Transition from veno-arterial ECMO to isolated left-sided support allowed for risk assessment for LVAD implantation and extubation, providing the patient an opportunity to participate in further clinical decision making.
一名67岁男性出现心源性休克和多系统器官衰竭，需要紧急进行静脉-动脉体外膜肺氧合（ECMO）。他被认为不符合心脏移植条件，由于持续性右心衰竭，植入左心室辅助装置（LVAD）被认为风险很高。为了确定他是否能够单独耐受左心室支持，通过左股静脉置入了一根经房间隔插管。从静脉-动脉ECMO过渡到单纯左侧支持，有助于评估LVAD植入和拔管的风险，为患者提供了参与进一步临床决策的机会。
