Yoshida Hisashi, Ichihara Yuki, Hoki Ryogo, Niinami Hiroshi
Department of Cardiovascular Surgery Tokyo Women's Medical University Tokyo Japan.
Clin Case Rep. 2021 Aug 21;9(8):e04674. doi: 10.1002/ccr3.4674. eCollection 2021 Aug.
Acute aortic dissection with coronary malperfusion is a life-threatening disease, resulting in demanding postoperative management. We report a successful insertion of percutaneous heart pump Impella through the intact true lumen in a patient with residual aortic dissection after the graft replacement. Careful evaluation of the access site and the Impella size selection is required.
急性主动脉夹层伴冠状动脉灌注不良是一种危及生命的疾病,术后管理要求极高。我们报告了1例在人工血管置换术后残留主动脉夹层的患者中,经完整真腔成功植入经皮心脏泵Impella的病例。需要仔细评估入路部位并选择合适尺寸的Impella。