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成功治疗与Impella 5.5相关的左心室下壁穿孔和破裂:一例报告

Successful Treatment of Left Ventricle Inferior Wall Perforation and Rupture Associated with an Impella 5.5: A Case Report.

作者信息

Hall James, Raza Hasnayn, Lee Sarah, Bryce Nicole, Abrol Sunil

机构信息

Department of Cardiac Surgery, NYU Langone Long Island Hospital, Mineola, NY 11501, USA.

Department of Biology, State University of New York, Albany, NY 12246, USA.

出版信息

Reports (MDPI). 2025 Jun 19;8(2):98. doi: 10.3390/reports8020098.

DOI:10.3390/reports8020098
PMID:40710889
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12197156/
Abstract

Perforation of the left ventricle related to microaxial ventricular assist devices (Impella) is a rare but fatal complication related to placement or adjustment. It results in left ventricular hemorrhage and tamponade, leading to rapid deterioration and death. We present a case report of a 73-year-old man who developed this complication postoperatively and was successfully managed to a full recovery. To our knowledge, he is the only reported patient to have this complication outside the setting of immediate placement who subsequently survived to discharge.

摘要

与微轴心室辅助装置(Impella)相关的左心室穿孔是一种与装置放置或调整相关的罕见但致命的并发症。它会导致左心室出血和心包填塞,进而迅速恶化并导致死亡。我们报告一例73岁男性患者,其术后发生了这种并发症,并成功治愈,完全康复。据我们所知,他是唯一报告的在非即刻放置装置情况下发生此并发症且随后存活至出院的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c54/12197156/f60011c91d95/reports-08-00098-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c54/12197156/f60011c91d95/reports-08-00098-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c54/12197156/f60011c91d95/reports-08-00098-g001.jpg

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本文引用的文献

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Ventricular rupture during the removal of Impella 5.5 in a patient with fulminant myocarditis.暴发性心肌炎患者在移除Impella 5.5期间发生心室破裂。
J Cardiol Cases. 2024 Aug 2;30(5):164-167. doi: 10.1016/j.jccase.2024.07.004. eCollection 2024 Nov.
2
Clinical indications and outcomes of Impella devices for severe cardiogenic shock in COVID-19 patients: a systematic review.用于COVID-19患者严重心源性休克的Impella装置的临床指征及结果:一项系统评价
Ann Med Surg (Lond). 2023 Nov 1;85(12):6115-6122. doi: 10.1097/MS9.0000000000001425. eCollection 2023 Dec.
3
Post-Myocardial Infarction Free-Wall Rupture: Rapid Diagnosis and Management.
心肌梗死后游离壁破裂:快速诊断与处理
JACC Case Rep. 2023 Jun 12;18:101915. doi: 10.1016/j.jaccas.2023.101915. eCollection 2023 Jul 19.
4
A case of left ventricular free wall rupture after insertion of an IMPELLA® left ventricular assist device diagnosed by transesophageal echocardiography.1例经食管超声心动图诊断的在植入Impella®左心室辅助装置后发生左心室游离壁破裂的病例。
JA Clin Rep. 2021 Apr 26;7(1):38. doi: 10.1186/s40981-021-00444-w.
5
Successful Treatment of Left Ventricular Perforation Occurring After Insertion of an Impella Device.成功治疗Impella装置植入后发生的左心室穿孔
Int J Angiol. 2020 Sep;29(3):202-204. doi: 10.1055/s-0038-1666971. Epub 2018 Jul 30.
6
The Evolving Landscape of Impella Use in the United States Among Patients Undergoing Percutaneous Coronary Intervention With Mechanical Circulatory Support.美国经皮冠状动脉介入治疗中机械循环支持患者中 Impella 使用的演变情况。
Circulation. 2020 Jan 28;141(4):273-284. doi: 10.1161/CIRCULATIONAHA.119.044007. Epub 2019 Nov 17.
7
Left ventricular perforation after Impella® placement in a patient with cardiogenic shock.一名心源性休克患者在植入Impella®后发生左心室穿孔。
Catheter Cardiovasc Interv. 2018 Apr 1;91(5):894-896. doi: 10.1002/ccd.27329. Epub 2017 Sep 25.