皮下心脏转换器-除器和心脏起器在心脏衰竭下进行脱心脏的救命合作功能
Panagiota Flevari1, Dionyssios Leftheriotis1, Alexandra Frogoudaki1
1Second Cardiology Department, Attikon University Hospital, Athens, Greece.
JACC. Case reports
|December 18, 2024
概括
一名患有复杂先天性心脏病的患者接受了用于心室动脉障碍的皮下植入式心脏转换器-除器 (ICD). ICD成功地提供了救命疗法,证明了其在高风险患者心律失常管理方面的有效性.
科学领域:
- 心脏病学 心脏病学
- 心脏电生理学 心脏电生理学
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 大动脉的先天纠正转移 (ccTGA) 是一种罕见的先天性心脏缺陷.
- 患有ccTGA的患者往往会出现心力衰竭和心律失常.
- 心脏起器依赖是复杂先天性心脏病患者的常见并发症.
研究的目的:
- 描述皮下可植入心脏转换器-除器 (S-ICD) 在ccTGA患者的成功植入和功能.
- 评估S-ICD疗法在患有复杂先天性心脏病的患者中控制心室动脉冲动的疗效.
- 突出S-ICD在为依赖心脏起器的患者提供拯救生命的抗失常疗法的作用.
主要方法:
- 一名47岁的男性患者患有ccTGA,dextrocardia,心力衰竭和心脏起器依赖,呈现出不持续的心室动脉冲动.
- 在经过彻底的手术前评估后,进行了右侧透肌心脏转换器-除器插入.
- 在一年的随访期间,对设备功能和治疗干预措施进行了监测.
主要成果:
- 皮下植入式心脏转换器-除器 (S-ICD) 已成功植入.
- 该S-ICD提供了救命的抗心律失常疗法,用于心室动脉冲动.
- 患者的起器继续正常运行,支持心律.
结论:
- 皮下植入式心脏转换器-除器 (S-ICD) 植入对于患有复杂先天性心脏病和心室节律失常的患者来说是一个可行的选择.
- 在高风险患者群体中,S-ICD疗法可以有效地管理危及生命的腹腔心动减速.
- 结合起器和S-ICD治疗可以为ccTGA和相关心脏病患者提供全面的治疗.
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