心梗后室间隔破裂经 Impella 5.5 辅助后植入 Heartmate 3 治疗。
Post-Myocardial Infarction Ventricular Septal Rupture Bridged to Heartmate 3 with an Impella 5.5.
机构信息
Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio.
Department of Medicine, Cleveland Clinic, Cleveland, Ohio.
出版信息
Ann Thorac Surg. 2021 Sep;112(3):e161-e163. doi: 10.1016/j.athoracsur.2020.12.044. Epub 2021 Jan 20.
Optimal timing of surgical repair for patients diagnosed with a post-myocardial infarction ventricular septal rupture is controversial. Urgent surgical intervention to prevent hemodynamic decompensation must be balanced against delayed repair to allow for tissue stabilization and increased likelihood of a successful outcome. We report the use of an axillary Impella 5.5 (Abiomed Inc, Danvers, MA) temporary left ventricular assist device to aid in hemodynamic stabilization, shunt fraction reduction, and tissue maturation with eventual definitive surgical repair in a patient who presented with a post-myocardial infarction ventricular septal rupture and cardiogenic shock.
对于诊断为心肌梗死后室间隔破裂的患者，手术修复的最佳时机仍存在争议。为了防止血流动力学失代偿，必须紧急进行外科干预，但也需要权衡延迟修复，以实现组织稳定并提高手术成功的可能性。我们报告了在一位患有心肌梗死后室间隔破裂和心源性休克的患者中使用腋部 Impella 5.5（Abiomed Inc，Danvers，MA）临时左心室辅助装置来辅助血液动力学稳定、分流分数减少和组织成熟，最终进行确定性手术修复。
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