梗阻性肥厚型心肌病合并心尖气球样变时的心源性休克：采用体外膜肺氧合（VA-ECMO）和心肌切除术治疗

Cardiogenic Shock in Obstructive Hypertrophic Cardiomyopathy Plus Apical Ballooning: Management With VA-ECMO and Myectomy.

作者信息

Caniato Flavia, Andrei Valentina, Bernardo Pasquale, Agostini Cecilia, Cappelli Francesco, Stefano Pier Luigi, Olivotto Iacopo, Pieroni Maurizio, Bolognese Leonardo, Di Mario Carlo

机构信息

Cardiac Intensive Care Unit, Careggi University Hospital, Florence, Italy.

Cardiac Surgery Unit, Careggi University Hospital, Florence, Italy.

出版信息

JACC Case Rep. 2021 Mar 17;3(3):433-437. doi: 10.1016/j.jaccas.2020.11.029. eCollection 2021 Mar.

A patient with known obstructive hypertrophic cardiomyopathy developed worsening left ventricular outflow tract obstruction, severe mitral regurgitation, and apical ballooning leading to cardiogenic shock, a combination in which treatment of each component could worsen the others. Emergency veno-arterial extracorporeal membrane oxygenation, levosimendan, and noradrenaline transiently restored adequate systemic perfusion and gas exchange. Surgical myectomy offered a more definitive solution. ().