在心脏病发作后心室隔膜破裂手术期间使用Impella 5.5进行左心室穿孔
Hisato Ito1, Saki Bessho2, Yu Shomura2
1Department of Thoracic and Cardiovascular Surgery, Mie University Hospital, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan. hisato.ito@gmail.com.
概括
Impella 5.5心脏可以在外科手术期间使用,但其硬的尖端会在手术期间造成左心室穿孔的风险,特别是当心室被解压时.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 医疗器械 医疗器械
背景情况:
- 在外科手术前期使用Impella 5.5心脏的数量正在增加.
- 在手术期间,Impella 5.5的左心室穿孔以前没有报告过.
研究的目的:
- 在手术期间报告左心室穿孔的病例,该病例发生在一个由Impella 5.5设备支持的患者身上.
- 为了突出与外科手术期间使用Impella 5.5相关的潜在风险.
主要方法:
- 一名75岁的男性患有心脏病发作后心室隔膜破裂,在28天内用Impella 5.5进行了支.
- 该装置在进行心室隔膜缺陷修复手术时保持在位.
- 在手术过程中观察并管理了潜在的左心室穿孔.
主要成果:
- 在外科手术期间,Impella 5.5设备成功使用了28天.
- 在手术过程中,Impella 5.5尖端被发现接近后壁的穿孔.
- 在胸部关闭之前,左心室的自由壁破裂发生,并被修复.
结论:
- 在整个外科手术前期,Impella 5.5可以使用.
- 伊佩拉5.5的刚硬尖端存在左心室穿孔的风险,特别是在心脏骤停期间,当心室壁松时.
- 意识到这种风险对于安全使用Impella 5.5.5的外科手术期间至关重要.
相关概念视频
01:22Esophageal Perforation-I: Introduction
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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
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01:28Esophageal Perforation-II: Clinical Manifestations and Management
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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
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