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Impella RP在一名急性右冠状动脉闭塞患者难治性心源性休克中的应用:病例报告

Impella RP Use in Refractory Cardiogenic Shock in a Patient Presenting With Acute Right Coronary Artery Occlusion: A Case Report.

作者信息

Abdel Jawad Mohammad, Abu Kar Abdullah, Saad Andre, Elkharbotly Ali, Fanari Zaher

机构信息

Internal Medicine, Ascension Via Christi St. Francis, Wichita, USA.

Hospital Medicine, University of California San Francisco, San Francisco, USA.

出版信息

Cureus. 2023 Aug 7;15(8):e43072. doi: 10.7759/cureus.43072. eCollection 2023 Aug.

Abstract

It is common for patients with inferior myocardial infarction to experience right ventricular infarction, occurring in half of the patients with inferior myocardial infarction. Right ventricular failure due to acute right myocardial infarction is often associated with a worse prognosis. In this case, we report a patient with acute chest pain due to acute right coronary artery occlusion status post placement of multiple stents in the right coronary artery. Unfortunately, he developed refractory cardiogenic shock requiring biventricular assist device placement.

摘要

下壁心肌梗死患者常并发右心室梗死,发生率约为下壁心肌梗死患者的一半。急性右心室心肌梗死所致的右心室衰竭往往预后较差。在此,我们报告一例因右冠状动脉急性闭塞导致急性胸痛的患者,该患者右冠状动脉已置入多个支架。不幸的是,他发展为难治性心源性休克,需要置入双心室辅助装置。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc21/10481990/e0295b2349ac/cureus-0015-00000043072-i01.jpg

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