儿科双心室辅助装置治疗心肌炎合并复杂左心室血栓
Pediatric Biventricular Assist Device for Myocarditis and Complicated Left Ventricular Thrombus.
机构信息
Department of Cardiovascular Surgery, Kyushu University Hospital, Fukuoka, Japan.
Department of Pediatrics, Kyushu University Hospital, Fukuoka, Japan.
出版信息
Ann Thorac Surg. 2019 May;107(5):e307-e308. doi: 10.1016/j.athoracsur.2018.09.046. Epub 2018 Nov 4.
An 8-year-old girl presenting with fulminant myocarditis and cardiogenic shock underwent peripheral extracorporeal membrane oxygenation. She was switched to central extracorporeal membrane oxygenation because of inadequate venous drainage, and an echocardiogram showed left ventricular (LV) thrombus. She underwent removal of the LV thrombus with LV venting. An echocardiogram showed LV thrombus again 2 days later. The LV thrombus was again removed, and a biventricular assist device support was initiated to avoid further thrombus formation. The patient was completely weaned from mechanical circulatory support after 7 days. She recovered fully without any neurologic deficit.
一位 8 岁女孩因暴发性心肌炎和心源性休克接受外周体外膜肺氧合治疗。由于静脉引流不足，她被切换到中心体外膜肺氧合治疗，并且超声心动图显示左心室（LV）血栓。她因左心室（LV）血栓行左心室（LV）引流术，术后 2 天超声心动图显示左心室（LV）再次出现血栓。再次行左心室（LV）血栓切除术，并开始使用双心室辅助装置以避免进一步形成血栓。患者机械循环支持 7 天后完全撤机。她完全康复，没有任何神经功能缺损。
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