Sheu Richard, Berfield Kathleen, Jones Stephanie, Pal Jay, Mackensen G Burkhard
From the Department of Anesthesiology & Pain Medicine and Division of Cardiothoracic Surgery, Department of Surgery, University of Washington Medical Center, Seattle, Washington.
A A Case Rep. 2017 Dec 1;9(11):328-331. doi: 10.1213/XAA.0000000000000608.
We present a patient who developed acute intraoperative cardiac failure requiring open cardiac message immediately after uncomplicated heart transplantation. After successful resuscitation and establishment of extracorporeal membrane oxygenation, coronary angiography showed diffuse multivessel coronary vasospasm, which responded to intracoronary and IV administration of vasodilators. Cardiac function gradually improved and the patient was discharged home after a prolonged hospital course. Cardiac allograft dysfunction associated with coronary vasospasm immediately after heart transplantation has not previously been reported.
我们报告了一名患者，在进行无并发症的心脏移植术后立即发生急性术中心力衰竭，需要立即进行心脏按摩。成功复苏并建立体外膜肺氧合后，冠状动脉造影显示弥漫性多支冠状动脉痉挛，冠状动脉内和静脉注射血管扩张剂后痉挛得到缓解。心脏功能逐渐改善，经过漫长的住院治疗过程后患者出院回家。此前尚未有心脏移植术后立即出现与冠状动脉痉挛相关的心脏移植物功能障碍的报道。
