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本文引用的文献

1
Hemodynamic Effects of Mechanical Circulatory Support Devices in Ventricular Septal Defect.机械循环支持装置对室间隔缺损的血液动力学影响。
Circ Heart Fail. 2019 Jul;12(7):e005981. doi: 10.1161/CIRCHEARTFAILURE.119.005981. Epub 2019 Jul 12.
2
A rationale for early extracorporeal membrane oxygenation in patients with postinfarction ventricular septal rupture complicated by cardiogenic shock.梗死后室间隔破裂并心原性休克患者早期体外膜肺氧合的理由。
Eur J Heart Fail. 2017 May;19 Suppl 2:97-103. doi: 10.1002/ejhf.852.
3
Veno-Arterial ECMO in the Setting of Post-Infarct Ventricular Septal Defect: A Bridge to Surgical Repair.心肌梗死后室间隔缺损情况下的静脉-动脉体外膜肺氧合：通向手术修复的桥梁。
Heart Lung Circ. 2016 Nov;25(11):1063-1066. doi: 10.1016/j.hlc.2016.02.024. Epub 2016 May 10.
4
Risk factors of mortality after surgical correction of ventricular septal defect following myocardial infarction: Retrospective analysis and review of the literature.心肌梗死后室间隔缺损手术矫正术后死亡的危险因素：回顾性分析及文献综述
Int J Cardiol. 2016 Mar 1;206:27-36. doi: 10.1016/j.ijcard.2015.12.011. Epub 2015 Dec 14.
5
Technical modifications in the repair of acute ischemic posterior ventricular septal defect without ventriculotomy.
J Card Surg. 2015 Mar;30(3):233-7. doi: 10.1111/jocs.12498. Epub 2015 Jan 9.
6
Repair of acute inferior wall myocardial infarction-related basal ventricular septal defect: transatrial versus transventricular approach.急性下壁心肌梗死相关的基底室间隔缺损的修复：经心房与经心室入路
J Card Surg. 2013 Sep;28(5):475-80. doi: 10.1111/jocs.12156. Epub 2013 Jul 21.
7
Surgical repair of ventricular septal defect after myocardial infarction: outcomes from the Society of Thoracic Surgeons National Database.心肌梗死后室间隔缺损的外科修复：来自胸外科医生学会国家数据库的结果。
Ann Thorac Surg. 2012 Aug;94(2):436-43; discussion 443-4. doi: 10.1016/j.athoracsur.2012.04.020. Epub 2012 May 23.
8
Experiences with surgical treatment of ventricle septal defect as a post infarction complication.室间隔缺损作为心肌梗死后并发症的外科治疗经验。
J Cardiothorac Surg. 2009 Jan 6;4:3. doi: 10.1186/1749-8090-4-3.

心肌梗死后室间隔缺损合并心源性休克：外周静脉 - 动脉体外膜肺氧合作为手术过渡手段

Post-infarction ventricular septal defect with cardiogenic shock: peripheral veno-arterial extracorporeal membrane oxygenator as a bridge to surgery.

作者信息

Khullar Vishal, Choi Kukbin, Greason Kevin

机构信息

Department of Cardiovascular Surgery, Mayo Clinic College of Medicine, First Street SW, Rochester, MN 55905 USA.

出版信息

Indian J Thorac Cardiovasc Surg. 2022 May;38(3):317-320. doi: 10.1007/s12055-021-01305-y. Epub 2022 Jan 5.

DOI:10.1007/s12055-021-01305-y
PMID:35529002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9023624/
Abstract

We present a patient with post-infarction posterior ventricular septal defect complicated by cardiogenic shock who was transferred after percutaneous coronary revascularization. A peripheral venoarterial extracorporeal membrane oxygenator was placed as a bridge to definite treatment to stabilize his condition. Patch closure of the ventricular septal defect and tricuspid valve replacement were performed successfully with right atrial approach 3 days after the extracorporeal membrane oxygenation (ECMO) placement and 11 days after the myocardial infarction. The extracorporeal membrane oxygenator was successfully weaned off intraoperatively and the patient was discharged without complications.

摘要

我们报告一例心肌梗死后并发心源性休克的后室间隔缺损患者，该患者在接受经皮冠状动脉血运重建术后被转诊。放置了外周静脉 - 动脉体外膜肺氧合装置作为确定性治疗的桥梁，以稳定其病情。在体外膜肺氧合（ECMO）置入后3天以及心肌梗死后11天，通过右心房入路成功进行了室间隔缺损修补和三尖瓣置换术。术中成功撤掉了体外膜肺氧合装置，患者出院时无并发症。