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Using extracorporeal membrane oxygenation support preoperatively and postoperatively as a successful bridge to recovery in a patient with a large infarct-induced ventricular septal defect.在一名患有大面积梗死所致室间隔缺损的患者中,术前和术后使用体外膜肺氧合支持作为成功恢复的桥梁。
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Venoarterial Extracorporeal Membrane Oxygenation as A Bridge to Surgery in Post-Myocardial Infarction Ventricular Septal Defect with Cardiogenic Shock: Case Report.静脉-动脉体外膜肺氧合作为心肌梗死后合并心源性休克的室间隔缺损的手术桥接治疗:病例报告。
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Surgical Repair of Ventricular Septal Defect after Myocardial Infarction: A Single Center Experience during 22 Years.心肌梗死后室间隔缺损的外科修复:单中心22年经验
Korean J Thorac Cardiovasc Surg. 2013 Dec;46(6):433-8. doi: 10.5090/kjtcs.2013.46.6.433. Epub 2013 Dec 6.
2
Percutaneous ventricular assist device and extracorporeal membrane oxygenation support in a patient with postinfarction ventricular septal defect and free wall rupture.经皮心室辅助装置及体外膜肺氧合支持用于一名心肌梗死后室间隔缺损合并游离壁破裂的患者
Heart Surg Forum. 2013 Jun;16(3):E150-1. doi: 10.1532/HSF98.20121123.
3
Outcome and survival analysis of surgical repair of post-infarction ventricular septal rupture.心肌梗死后室间隔破裂外科修复的结果与生存分析
J Cardiothorac Surg. 2013 Mar 9;8:44. doi: 10.1186/1749-8090-8-44.
4
Surgical repair of postinfarction ventricular septal rupture: risk factors of early and late death.心肌梗死后室间隔破裂的外科修复:早期和晚期死亡的危险因素
J Thorac Cardiovasc Surg. 2009 Apr;137(4):862-8. doi: 10.1016/j.jtcvs.2008.09.008.
5
Cardiogenic shock in patient with posterior postinfarction septal rupture--successful treatment with extracorporeal membrane oxygenation (ECMO) as a ventricular assist device.心肌梗死后室间隔破裂患者的心源性休克——成功应用体外膜肺氧合(ECMO)作为心室辅助装置进行治疗。
J Card Surg. 2009 Jul-Aug;24(4):435-6. doi: 10.1111/j.1540-8191.2008.00710.x. Epub 2008 Sep 5.
6
Ventricular septal rupture after acute myocardial infarction.急性心肌梗死后室间隔破裂
N Engl J Med. 2002 Oct 31;347(18):1426-32. doi: 10.1056/NEJMra020228.
7
Post infarction ventricular septal defect - can we do better?心肌梗死后室间隔缺损——我们能做得更好吗?
Eur J Cardiothorac Surg. 2000 Aug;18(2):194-201. doi: 10.1016/s1010-7940(00)00482-6.
8
Risk factors, angiographic patterns, and outcomes in patients with ventricular septal defect complicating acute myocardial infarction. GUSTO-I (Global Utilization of Streptokinase and TPA for Occluded Coronary Arteries) Trial Investigators.室间隔缺损合并急性心肌梗死患者的危险因素、血管造影模式及预后。GUSTO-I(全球应用链激酶和组织型纤溶酶原激活剂治疗冠状动脉闭塞)试验研究者。
Circulation. 2000;101(1):27-32. doi: 10.1161/01.cir.101.1.27.
9
Operative results of "repair" of ventricular septal rupture after acute myocardial infraction.急性心肌梗死后室间隔破裂“修复”的手术结果
Am J Cardiol. 1999 Oct 1;84(7):785-8. doi: 10.1016/s0002-9149(99)00438-5.
10
Postinfarction ventricular septal rupture: the Wessex experience.心肌梗死后室间隔破裂:韦塞克斯地区的经验
Semin Thorac Cardiovasc Surg. 1998 Apr;10(2):111-6. doi: 10.1016/s1043-0679(98)70004-8.

在一名患有大面积梗死所致室间隔缺损的患者中,术前和术后使用体外膜肺氧合支持作为成功恢复的桥梁。

Using extracorporeal membrane oxygenation support preoperatively and postoperatively as a successful bridge to recovery in a patient with a large infarct-induced ventricular septal defect.

作者信息

Jacob Samuel, Patel Mitesh J, Lima Brian, Felius Joost, Malyala Rajasekhar S, Chamogeorgakis Themistokles, MacHannaford Juan C, Gonzalez-Stawinski Gonzalo V, Rafael Aldo E

机构信息

Department of Cardiac and Thoracic Surgery (Jacob, Patel, Lima, Malyala, Chamogeorgakis, MacHannaford, Gonzalez-Stawinski, Rafael) and the Annette C. and Harold C. Simmons Transplant Institute (Lima, Felius, Chamogeorgakis, Gonzalez-Stawinski), Baylor University Medical Center at Dallas.

出版信息

Proc (Bayl Univ Med Cent). 2016 Jul;29(3):301-4. doi: 10.1080/08998280.2016.11929443.

DOI:10.1080/08998280.2016.11929443
PMID:27365878
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4900776/
Abstract

Rupture of the ventricular septum during acute myocardial infarction usually occurs within the first week. The event is usually followed by low cardiac output, heart failure, and multiorgan failure. Despite the many advances in the nonoperative treatment of heart failure and cardiogenic shock, including the intra-aortic balloon pump and a multitude of new inotropic agents and vasodilators, these do not supplant the need for operative intervention in these critically ill patients. This article describes the successful use of extracorporeal membrane oxygenation support as a bridge to recovery postoperatively in a patient with a large infarct-produced ventricular septal defect.

摘要

急性心肌梗死期间室间隔破裂通常发生在第一周内。该事件通常随后会出现低心输出量、心力衰竭和多器官衰竭。尽管在心力衰竭和心源性休克的非手术治疗方面取得了许多进展,包括主动脉内球囊泵以及大量新型正性肌力药物和血管扩张剂,但这些并不能取代对这些重症患者进行手术干预的必要性。本文描述了在一名患有大面积梗死所致室间隔缺损的患者中成功使用体外膜肺氧合支持作为术后恢复桥梁的情况。