Department of Cardiovascular and Thoracic Surgery, University Hospital Tübingen, Tübingen, Germany.
Department of Anaesthesiology and Critical Care Medicine, University Hospital Tübingen, Tübingen, Germany.
Artif Organs. 2021 May;45(5):524-527. doi: 10.1111/aor.13862. Epub 2020 Dec 20.
We report the case of a 12-year old female patient with Friedreich's ataxia and diabetes mellitus. Due to a progressive multiorgan failure, a veno-arterial extracorporeal membrane oxygenation was implanted through the axillary vessels. However, due to a lack of ejection and severe dilatation of the left ventricle, an Impella 2.5 was implanted. Due to the small diameter of the femoral arteries, we performed a trans-aortic implantation through a median sternotomy via a Dacron tube graft. We report on the procedure and perioperative outcome.
我们报告了一例 12 岁女性弗里德里希共济失调和糖尿病患者的病例。由于多器官进行性衰竭，通过腋窝血管植入了静脉 - 动脉体外膜肺氧合。然而，由于射血不足和左心室严重扩张，植入了 Impella 2.5。由于股动脉直径较小，我们通过胸骨正中切开术经涤纶管移植物进行了经主动脉植入。我们报告了手术过程和围手术期结果。
