Noyes Adam M, Ramu Bhavadharini, Parker Matthew W, Underhill David, Gluck Jason A
Tex Heart Inst J. 2015 Oct 1;42(5):471-3. doi: 10.14503/THIJ-14-4575. eCollection 2015 Oct.
The timing of surgery for active infective endocarditis is challenging when patients exhibit mechanical dysfunction and hemodynamic compromise. Extracorporeal membrane oxygenation has been described in treating sepsis but not, insofar as we know, in treating the acute mechanical sequelae that arise from infective endocarditis. We report perhaps the first case that shows the usefulness of extracorporeal membrane oxygenation as a bridge to definitive treatment in a 35-year-old man who had infective endocarditis followed by aorto-atrial fistula and cardiopulmonary collapse.
对于患有活动性感染性心内膜炎且出现机械功能障碍和血流动力学不稳定的患者而言，手术时机的选择颇具挑战性。体外膜肺氧合已被用于治疗脓毒症，但据我们所知，尚未用于治疗感染性心内膜炎引发的急性机械性后遗症。我们报告了首例可能显示体外膜肺氧合作为桥接治疗手段有效性的病例，患者为一名35岁男性，患有感染性心内膜炎，继发主动脉-心房瘘和心肺功能衰竭。
