心包切除术后右心衰竭的体外膜氧合。
Extracorporeal membrane oxygenation for right ventricular failure following pericardiectomy.
机构信息
Department of Cardiac Surgery, Glenfield Hospital, University Hospitals of Leicester, Leicester, UK.
Intensive Care Unit and ECMO Unit, Glenfield Hospital, University Hospitals of Leicester, Leicester, UK.
出版信息
Eur J Cardiothorac Surg. 2019 Sep 1;56(3):625-626. doi: 10.1093/ejcts/ezy491.
We report the case of a 61-year-old gentleman who underwent pericardiectomy for constrictive pericarditis. Constrictive pericarditis was diagnosed through echocardiogram, computed tomography chest and cardiac magnetic resonance imaging. An elective decision was made for commencing venoarterial extracorporeal membrane oxygenation (ECMO) immediately postoperatively to prevent significant right ventricular failure (RVF). Postoperatively, the patient remained on ECMO for 4 days in a stable condition, showing no further signs of RVF. Venoarterial ECMO may be of use as an elective adjunct in cases at high risk of RVF following pericardiectomy.
我们报告了一例 61 岁男性患者，他因缩窄性心包炎而行心包切除术。缩窄性心包炎通过超声心动图、胸部计算机断层扫描和心脏磁共振成像诊断。为预防严重的右心室衰竭（RVF），我们决定在术后立即开始使用静脉-动脉体外膜肺氧合（ECMO）。术后，患者在 ECMO 上稳定地维持了 4 天，没有出现进一步的 RVF 迹象。静脉-动脉 ECMO 可作为心包切除术后 RVF 高危病例的一种选择性辅助手段。
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