Successful use of left ventricular support device (Impella 5.0) and extracorporeal membrane oxygenation (ECMO) for postoperative cardiac arrest after lung cancer surgery: a case report

被引：1

作者：

Hara, Kantaro ^{[1
,3
]}

Miyamoto, Hikaru ^{[1
]}

Furukawa, Nao ^{[1
]}

Kimura, Takuya ^{[1
]}

Soeda, Satsuki ^{[2
]}

Okabe, Kazunori ^{[1
]}

机构：

[1] Bell Land Gen Hosp, Dept Thorac Surg, Sakai, Japan

[2] Asakayama Gen Hosp, Dept Cardiol, Sakai, Japan

[3] Bell Land Gen Hosp, Dept Thorac Surg, 500-3,Higashiyama,Naka Ku, Sakai, Osaka 5998247, Japan

来源：

JOURNAL OF SURGICAL CASE REPORTS | 2023年 / 2023卷 / 05期

关键词：

lung cancer; Impella; ECMO; cardiac arrest; acute coronary syndrome;

D O I：

10.1093/jscr/rjad258

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Postoperative hemodynamic support with an Impella 5.0 was effective in a man who underwent lung lobectomy for lung cancer and cardiogenic shock. A 75-year-old man presented to hospital with an abnormal chest shadow on radiography. After thorough examination, the patient was diagnosed with lung cancer, and left lower lobectomy was performed. On the 2nd postoperative day, the patient experienced cardiac arrest because of a sudden drop in saturation of percutaneous oxygen. After a third defibrillation, his heartbeat resumed, and he was intubated and placed on a ventilator. Coronary angiography revealed acute coronary syndrome and the patient fell into a state of shock, which required venoarterial extracorporeal membrane oxygenation (VA-ECMO) support. Nevertheless, the circulatory dynamics are unstable, and Impella 5.0 was introduced. VA-ECMO and the Impella 5.0 were discontinued on the 6th and 8th postoperative days, respectively. The patient was eventually transferred to a nearby facility for further rehabilitation 109 days later.

引用

页数：3

共 6 条

[1] Impella support as a bridge to scheduled surgical repair of ventricular septal rupture [J].