缺血性室间隔缺损及急性右心室衰竭的成功治疗：现代英国国家医疗服务体系中的一个具有挑战性的病例。
Successful treatment of ischaemic VSD and acute RV failure: a challenging case in the modern NHS.
作者信息
Greco Renata, Johnson Andrew, Jin Xy, Kharabanda Rajesh K, Banning Adrian P, Petrou Mario
机构信息
Specialist Registrar in Cardiothoracic Surgery Heart Centre, John Radcliffe Hospital, Headley Way, Headington, Oxford, OX3 9DU.
Consultant in Cardiothoracic Anaesthesia Heart Centre, John Radcliffe Hospital, Headley Way, Headington, Oxford, OX3 9DU.
出版信息
Br J Cardiol. 2020 Jan 29;27(1):04. doi: 10.5837/bjc.2020.004. eCollection 2020.
A 52-year-old man, previously fit and well, presented with myocardial infarction complicated by ischaemic ventricular septal defect (VSD) and acute right ventricular failure, was successfully treated with early percutaneous coronary reperfusion, surgical VSD repair and temporary right ventricular assist device (VAD) support. This case is an example of how a modern healthcare system can successfully manage complex emergency cases, combining high levels of clinical care and medical technology. Access to temporary mechanical support played a vital role in this case. We believe that wider access to VADs may contribute to improvement in the, widely recognised, poor outcome of ischaemic VSD.
一名52岁男性，既往身体健康，因心肌梗死并发缺血性室间隔缺损（VSD）及急性右心室衰竭入院，经早期经皮冠状动脉再灌注、室间隔缺损手术修复及临时右心室辅助装置（VAD）支持治疗后获得成功。该病例展示了现代医疗系统如何通过高水平的临床护理与医疗技术成功处理复杂的紧急情况。在本病例中，获得临时机械支持起到了至关重要的作用。我们认为，更广泛地使用心室辅助装置可能有助于改善缺血性室间隔缺损这一公认的不良预后情况。
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