Balsara Keki R, Bierhals Andrew, Vader Justin, Pasque Michael K, Itoh Aki
Division of Cardiothoracic Surgery, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
Department of Radiology, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
J Card Surg. 2017 Feb;32(2):159-161. doi: 10.1111/jocs.13088. Epub 2017 Jan 11.
Left ventricular noncompaction (LVNC) may result in systolic left ventricular (LV) failure resulting in the need for heart transplantation. LV assist devices (LVAD) have been used to bridge these patients to transplantation; however, the extensive trabeculations found in these patients predispose them to thromboembolic events and pump thrombosis. We describe a patient with LVNC in whom an aggressive surgical approach was used to debride the LV cavity of trabeculations to successfully implant an LVAD.
左心室心肌致密化不全（LVNC）可能导致左心室（LV）收缩功能衰竭，进而需要进行心脏移植。左心室辅助装置（LVAD）已被用于将这些患者过渡到移植阶段；然而，这些患者中发现的广泛小梁结构使他们易发生血栓栓塞事件和泵血栓形成。我们描述了一名LVNC患者，采用积极的手术方法清除左心室腔内的小梁结构，成功植入了LVAD。
