Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Gunma, Japan; Department of Cardiothoracic Surgery, The University of Tokyo, Tokyo, Japan.
Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Gunma, Japan.
Ann Thorac Surg. 2014 May;97(5):1778-81. doi: 10.1016/j.athoracsur.2013.08.029.
We report a case of thoracoabdominal aneurysm repair in a 44-year-old man with end-stage heart failure requiring an extracorporeal left ventricular assist device (LVAD). At the age of 31 years, the patient experienced type B acute aortic dissection, which gradually dilated to a maximum dimension of 66 mm at the diaphragm. The aneurysm prevented the patient from meeting heart transplantation criteria. For this reason and because of an increased risk of rupture, we undertook surgical repair of the aneurysm. This report constitutes the first such published case, and we describe the management of the LVAD in the perioperative period.
我们报告了一例 44 岁的终末期心力衰竭男性患者行胸主动脉腹主动脉瘤修复术的病例，该患者需要体外左心室辅助装置（LVAD）。31 岁时，患者发生 B 型急性主动脉夹层，在膈肌处逐渐扩张至最大尺寸 66mm。该动脉瘤使患者不符合心脏移植标准。鉴于此，且由于破裂风险增加，我们对该动脉瘤进行了手术修复。本报告是首例此类发表病例，我们描述了 LVAD 在围手术期的管理。
