Jung E, Imai Y, Takanashi Y, Hoshino S, Shinoka T, Oshitomi T
Department of Pediatric Cardiovascular Surgery, Heart Institute of Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1995 Aug;43(8):1160-5.
A 6-month-old female with transposition of the great arteries with intact ventricular septum successfully survived with the aid of a circulatory assist device for acute left heart failure after rapid two stage-arterial switch operation (ASO). The interval between pulmonary artery banding and ASO was 9 days. Left heart failure appeared immediately after ASO, so we started the circulatory assist with a centrifugal pump. The left ventricular function gradually recovered. After 43 hours assisted circulation, she was successfully weaned from the pump. Subsequent recovery was uneventful and the patient was discharged from the hospital on the 40th postoperative day. In case of acute left heart failure after ASO due to sudden changes in the left ventricular afterload, adaptation of the left ventricle can be expected by a relatively short period of circulatory assist with centrifugal pump.
一名6个月大的患有室间隔完整的大动脉转位的女性，在快速两阶段动脉调转手术（ASO）后因急性左心衰竭借助循环辅助装置成功存活。肺动脉环扎术与ASO之间的间隔为9天。ASO后立即出现左心衰竭，因此我们开始使用离心泵进行循环辅助。左心室功能逐渐恢复。经过43小时的辅助循环后，她成功脱离了泵。随后恢复顺利，患者在术后第40天出院。在ASO后因左心室后负荷突然变化导致急性左心衰竭的情况下，通过使用离心泵进行相对较短时间的循环辅助，可以预期左心室会发生适应性变化。
