Department of Cardiology, St Vincent's Hospital, Sydney, New South Wales, Australia.
Department of Cardiology, St Vincent's Hospital, Sydney, New South Wales, Australia.
Heart Lung Circ. 2014 Jan;23(1):e12-5. doi: 10.1016/j.hlc.2013.06.011. Epub 2013 Aug 6.
We present the first described case of an accessory pathway ablation, requiring a transseptal puncture, performed on ECMO for tachycardia-induced cardiomyopathy in the context of cardiogenic shock. The performance of a transseptal puncture in such a scenario is a feasible option and should be considered if the clinical situation dictates, despite the inherent risks. After ablation of the left lateral pathway the patient was successfully weaned off ECMO and made a complete recovery.
我们报告了首例在体外膜肺氧合（ECMO）支持下心源性休克合并心动过速性心肌病患者中，因旁路消融而进行的经房间隔穿刺的病例。在这种情况下，进行经房间隔穿刺是可行的选择，如果临床情况需要，尽管存在固有风险，但应考虑采用该方法。左外侧旁路消融后，患者成功地脱离了 ECMO 并完全康复。
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