Coffman Zachary J, Bandisode Varsha M, Kavarana Minoo N, Buckley Jason R
1 Department of Pediatrics, Division of Cardiology, Medical University of South Carolina, Charleston, SC, USA.
2 Department of Surgery, Division of Pediatric Cardiothoracic Surgery, Medical University of South Carolina, Charleston, SC, USA.
World J Pediatr Congenit Heart Surg. 2019 Jul;10(4):518-519. doi: 10.1177/2150135119847147.
Progressive ventricular dysfunction is not uncommon in patients with univentricular hearts as they age. In the acute setting vasoactive support can be employed, but is not always sufficient and patients occasionally require mechanical support. We report the successful implantation and subsequent challenges of a percutaneous Abiomed Impella ventricular assist device as a rescue therapy for a 15-year old-patient with Fontan circulation and severe ventricular dysfunction after cardiac arrest.
随着年龄增长，单心室心脏患者出现进行性心室功能障碍并不罕见。在急性情况下可采用血管活性支持，但并不总是足够，患者偶尔需要机械支持。我们报告了一例15岁Fontan循环且心脏骤停后出现严重心室功能障碍患者成功植入经皮Abiomed Impella心室辅助装置作为抢救治疗及其后续挑战。
