Ohira Seima, Ise Hayato, Nakanishi Sentaro, Kobayashi Daita, Date Ayumi, Kikuchi Shinsuke, Ishikawa Natsuya, Hasebe Naoyuki, Kamiya Hiroyuki
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.
J Surg Case Rep. 2018 Oct 26;2018(10):rjy285. doi: 10.1093/jscr/rjy285. eCollection 2018 Oct.
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.
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。