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经主动脉经皮左心室辅助装置导致的心包填塞:当警报未引起警觉时。

Cardiac Tamponade With a Transaortic Percutaneous Left Ventricular Assist Device: When Alarms Caused No Alarm.

作者信息

Sande Mathias Isadora, Burkhoff Daniel, Bhimaraj Arvind

机构信息

Houston Methodist DeBakey Heart and Vascular Center, Houston, Texas, USA.

Cardiovascular Research Foundation, New York City, New York, USA.

出版信息

JACC Case Rep. 2023 Jun 26;19:101936. doi: 10.1016/j.jaccas.2023.101936. eCollection 2023 Aug 2.

Abstract

A 57-year-old man with end-stage heart failure presented with incessant ventricular tachycardia in the setting of cardiogenic shock, requiring support with a percutaneous left ventricular assist device. He underwent ablation of the ventricular tachycardia. Hours later the console alarm was evident, and the patient experienced worsening shock and elevated central venous pressure, leading to a diagnosis of cardiac tamponade. ().

摘要

一名57岁的终末期心力衰竭男性患者,在心源性休克的情况下出现持续性室性心动过速,需要使用经皮左心室辅助装置进行支持治疗。他接受了室性心动过速消融术。数小时后,控制台警报明显,患者休克加重,中心静脉压升高,导致心脏压塞的诊断。()

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1415/10429294/fce3d47f1b22/fx1.jpg

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