在一名接受Fontan手术后出现失代偿性大动脉右位转位的患者中，植入心室辅助装置后全身饱和度得到改善。
Improved systemic saturation after ventricular assist device implantation in a patient with decompensated dextro-transposition of the great arteries after the Fontan procedure.
作者信息
Jabbar Ali Abdul, Franklin Wayne J, Simpson Leo, Civitello Andrew B, Delgado Reynolds M, Frazier O H
出版信息
Tex Heart Inst J. 2015 Feb 1;42(1):40-3. doi: 10.14503/THIJ-13-3374. eCollection 2015 Feb.
Abstract
We report the successful implantation of a HeartMate II left ventricular assist device after a failed Fontan procedure in a patient with dextro-transposition of the great arteries. The patient had developed significant intrapulmonary arteriovenous shunting. Despite the theoretical risk of worsening intrapulmonary shunting due to the decrease in systemic vascular resistance after device implantation, our patient did well. He was discharged from the hospital in stable condition and had better oxygen saturation than before the device was implanted. To our knowledge, ours is the 2nd report of the use of a ventricular assist device after the failure of a Fontan procedure, and the first report concerning the effect of ventricular assist device implantation on intrapulmonary shunting.
摘要
我们报告了1例大动脉右位转位患者在Fontan手术失败后成功植入HeartMate II左心室辅助装置的病例。该患者已出现显著的肺内动静脉分流。尽管理论上存在因装置植入后体循环血管阻力降低而导致肺内分流恶化的风险，但我们的患者情况良好。他出院时病情稳定，且氧饱和度比装置植入前有所改善。据我们所知，我们的病例是Fontan手术失败后使用心室辅助装置的第2例报告，也是关于心室辅助装置植入对肺内分流影响的首例报告。
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