Marui A, Mochizuki T, Koyama T, Mitsui N, Horibe M
Department of Cardiovascular Surgery, Akane-Foudation Tsuchiya General Hospital, Hiroshima, Japan.
Jpn J Thorac Cardiovasc Surg. 1998 May;46(5):461-4. doi: 10.1007/BF03217772.
The percutaneous cardiopulmonary support system (PCPS) was used in a 64-year-old woman with cardiogenic shock due to sustained ventricular fibrillation (Vf) caused by severe aortic stenosis and regurgitation. The Vf attack was resistant to cardioversion and adrenaline for lack of left ventricular support by PCPS. She was transported to the operation theater with PCPS in situ and emergency aortic valve replacement was performed. Although preoperative cardiac resuscitation time was long (35 minutes), she was discharged from the hospital on foot without any neurological complications on 84th postoperative day. Because PCPS does not decrease left ventricular systolic stress in poorly contracting dilated heart, early surgical treatment is needed in patients with severely damaged heart.
经皮心肺支持系统（PCPS）应用于一名64岁女性，该患者因严重主动脉瓣狭窄和反流导致持续性心室颤动（Vf）而发生心源性休克。由于PCPS缺乏左心室支持，Vf发作对心脏复律和肾上腺素治疗无效。她在PCPS原位的情况下被转运至手术室，并接受了急诊主动脉瓣置换术。尽管术前心脏复苏时间较长（35分钟），但她在术后第84天步行出院，无任何神经并发症。由于PCPS不会降低收缩功能差的扩张型心脏的左心室收缩压力，因此对于心脏严重受损的患者需要早期手术治疗。
