Wu Shye-Jao, Fan Ya-Fen
Division of Cardiovascular Surgery, Department of Surgery, Mackay Memorial Hospital.
Int Heart J. 2020;61(4):848-850. doi: 10.1536/ihj.19-634.
Right ventricular (RV) dysfunction may occur after cardiac surgery and it is not rare after corrective repair of tetralogy of Fallot (TOF). If traditional treatments with volume management, infusion of inotropic agents, and use of pulmonary vasodilators cannot stabilize the patient, extracorporeal membrane oxygenation (ECMO) or a ventricular assist device (VAD) will be considered as the last resort. Here, we report a young infant patient with RV failure after corrective repair of TOF and without closure of an atrial septal defect (ASD), who was rescued by veno-venous (VV) -ECMO.
右心室（RV）功能障碍可能在心脏手术后出现，在法洛四联症（TOF）矫正修复术后并不罕见。如果采用容量管理、输注正性肌力药物和使用肺血管扩张剂等传统治疗方法无法使患者病情稳定，体外膜肺氧合（ECMO）或心室辅助装置（VAD）将被视为最后的治疗手段。在此，我们报告一名TOF矫正修复术后出现右心室衰竭且未闭合房间隔缺损（ASD）的幼儿患者，其通过静脉-静脉（VV）-ECMO获救。
