Multimodal mechanical circulatory assist for perioperative biventricular failure

被引：0

作者：

Sugimura, Yukiharu ^{[1
]}

Mehdiani, Arash ^{[1
]}

Aubin, Hug ^{[1
]}

Rellecke, Philipp ^{[1
]}

Boeken, Udo ^{[1
]}

Lichtenberg, Artur ^{[1
]}

Akhyari, Payam ^{[1
]}

机构：

[1] Heinrich Heine Univ, Med Fac, Dept Cardiac Surg, Moorenstr 5, D-40225 Dusseldorf, Germany

来源：

JOURNAL OF CARDIAC SURGERY | 2021年 / 36卷 / 02期

关键词：

cardiogenic shock; extracorporeal membrane oxygenation; Impella; multimodal mechanical circulatory assist; Tandemheart; MYOCARDIAL-INFARCTION; CARDIOGENIC-SHOCK; SUPPORT;

D O I：

10.1111/jocs.15198

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 61-year-old woman with acute myocardial infarction (MI), cardiogenic shock, and Impella CP support underwent emergency coronary artery bypass grafting. Postoperatively venous-arterial extracorporeal membrane oxygenation (va-ECMO) became necessary, followed by Impella 5.0 insertion on 7th postoperative day (POD), the addition of right ventricular support by TandemHeart due to inadequate flow of Impella system, which then allowed for va-ECMO weaning. Impella und TandemHeart were removed on 14th POD, 31st POD, respectively. Biventricular decompensation following MI was successfully treated by a sequence of different mechanical circulatory support systems allowing an adaptive weaning strategy.

引用

页码：712 / 715

页数：4

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