Kaulbach H G, Vetter H O, Reichenspurner H, Peiffer M, Schindler G, Röll W, Reichart B
Herzchirurgische Klinik, Ludwig-Maximilians-Universität, Klinikum Grosshadern, München.
Zentralbl Chir. 1993;118(11):687-90.
We recently used an electrically powered left ventricular assist device (NOVACOR Corp., Oakland, Calif.) to support the circulation of a 17-year-old man with profound circulatory impairment. He had been regularly listed for cardiac transplantation previously because of dilated cardiomyopathy, and decompensated acutely with severe biventricular failure before a suitable donor heart became available. Isolated left ventricular support with the NOVACOR system provided adequate haemodynamics and recovery of right ventricular, hepatic and renal function. After 2 days of support, orthotopic heart transplantation could be performed successfully. Five days after transplantation he developed a massive cerebral haemorrhage during a hypertensive crisis of which he recovered completely after neurosurgery without any residuals. He ist currently doing extremely well some 14 months after transplantation.
我们最近使用了一种电动左心室辅助装置（诺华科尔公司，加利福尼亚州奥克兰）来支持一名患有严重循环功能障碍的17岁男性的血液循环。他此前因扩张型心肌病被列入心脏移植常规名单，在合适的供体心脏可用之前，因严重的双心室衰竭而急性失代偿。使用诺华科尔系统进行的孤立左心室支持提供了足够的血流动力学支持，并使右心室、肝脏和肾脏功能得以恢复。在支持2天后，成功进行了原位心脏移植。移植后5天，他在高血压危象期间发生了大量脑出血，神经外科手术后完全康复，没有任何后遗症。移植后约14个月，他目前情况非常好。
