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一种用于围产期心肌病患者的左心室辅助装置。

A left ventricular assist device for a patient with peripartum cardiomyopathy.

作者信息

Ohira Seima, Ise Hayato, Nakanishi Sentaro, Kobayashi Daita, Date Ayumi, Kikuchi Shinsuke, Ishikawa Natsuya, Hasebe Naoyuki, Kamiya Hiroyuki

机构信息

Department of Cardiac Surgery, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa, Hokkaido, Japan.

Department of Cardiovascular Surgery, Kojinkai Memorial Hospital, Aikoku 191-212, Kushiro, Hokkaido, Japan.

出版信息

J Surg Case Rep. 2018 Oct 26;2018(10):rjy285. doi: 10.1093/jscr/rjy285. eCollection 2018 Oct.

Abstract

Since its introduction in Japan in 1980, the extracorporeal left ventricular assist device has been used as a bridge to the recovery of cardiac function or to heart transplantation by many institutions. In this case report, we describe a 23-year-old female with peripartum cardiomyopathy. She had a persistently low cardiac index despite intensive care with intravenous inotropes, intra-aortic balloon pumping and extracorporeal membrane oxygenation; thus, we implanted an extracorporeal left ventricular assist device. Thereafter, her cardiac function gradually improved; the device was removed 2 months after the implantation. She currently has good heart function.

摘要

自1980年体外左心室辅助装置在日本引入以来,许多机构已将其用作心脏功能恢复或心脏移植的桥梁。在本病例报告中,我们描述了一名患有围产期心肌病的23岁女性。尽管接受了静脉注射强心剂、主动脉内球囊泵和体外膜肺氧合的重症监护,她的心脏指数仍持续偏低;因此,我们植入了体外左心室辅助装置。此后,她的心脏功能逐渐改善;植入后2个月移除了该装置。她目前心脏功能良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d224/6202504/db7d8f0e8b67/rjy285f01.jpg

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