在单心室和单肺患者中使用HeartMate 3心室辅助设备,该患者用双向格伦双向息
Luiz Fernando Caneo1, Carolina Vieira de Campos2, Marcelo Biscegli Jatene1
1From the Pediatric Cardiac Surgery Unit, Cardiovascular Surgery Division, Instituto do Coração (Heart Institute), Hospital das Clínicas, School of Medicine, University of São Paulo, São Paulo, Brazil.
概括
一名15岁的患者,单心室息失败和肺动脉血栓形成,获得了成功的治疗. 患者得到了HeartMate 3心室辅助装置和Fontan完成目的地治疗的支持.
科学领域:
- 心脏病学 心脏病学
- 儿童心脏病学 儿童心脏病学
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 单心室息是一种复杂的手术方法,用于复杂的先天性心脏缺陷.
- 进展到Fontan循环往往是必要的,但存在风险,包括血栓形成.
- 左肺动脉血栓形成可能会损害单心室生理学,并导致心力衰竭.
研究的目的:
- 报告一种新的方法来管理复杂的儿科心脏病例.
- 描述成功使用心室辅助装置和Fontan完成在一个失败的单心室息和肺动脉血栓形成的患者.
主要方法:
- 评估了一名15岁的患者,他的第二阶段单心室息失败了.
- 进行了HeartMate 3心室辅助装置植入,以提供血液动力学支持.
- 作为目的地疗法,Fontan完成是进行的.
主要成果:
- 患者通过HeartMate 3设备成功证明了血液动力学支持.
- 手术后的康复包括血栓形成的解决和改善的临床状态.
- 室腔辅助装置支持和Fontan完成的结合方法被证明是有效的.
结论:
- 用心室辅助装置和Fontan完成的目的地治疗可以成为选择的小儿患者的可行选择,因为单心室息失败.
- 这一案例突出了先进的机械循环支持在管理复杂的先天性心脏病的潜力.
- 多学科管理对于优化这些具有挑战性的案例的结果至关重要.
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