Ovroutski Stanislav, Miera Oliver, Krabatsch Thomas, Berger Felix, Photiadis Joachim, Potapov Evgenii
Department of Congenital Heart Disease and Pediatric Cardiology, Deutsches Herzzentrum Berlin (German Heart Institute Berlin), Berlin, Germany.
Department of Congenital Heart Disease and Pediatric Cardiology, Deutsches Herzzentrum Berlin (German Heart Institute Berlin), Berlin, Germany.
Ann Thorac Surg. 2017 Aug;104(2):e143-e145. doi: 10.1016/j.athoracsur.2017.02.037.
A 31-year-old patient with a univentricular heart and double-inlet left ventricle, moderate pulmonary stenosis, and severe mitral valve regurgitation experienced irreversible heart failure after mitral valve replacement. "Biventricular" mechanical circulatory support was initiated. The systemic circulation was supported using the HeartWare ventricular assist device (HVAD) (HeartWare, Framingham, MA) pump in the usual manner. The second pump was inserted into the right atrium and connected to the pulmonary artery after closure of the pulmonary valve and atrial separation. This solution allowed optimal circulatory support, reduction of pulmonary resistance, and normal peripheral oxygen saturation. Thus the patient was listed for heart transplantation.
一名31岁患有单心室心脏和双入口左心室、中度肺动脉狭窄及严重二尖瓣反流的患者在二尖瓣置换术后出现不可逆性心力衰竭。启动了“双心室”机械循环支持。以常规方式使用HeartWare心室辅助装置（HVAD）（HeartWare，弗雷明汉，马萨诸塞州）泵支持体循环。第二个泵插入右心房，并在肺动脉瓣关闭和心房分隔后连接到肺动脉。这种解决方案可实现最佳的循环支持、降低肺阻力并使外周血氧饱和度正常。因此，该患者被列入心脏移植名单。
