Interventional Bridging Therapy for Radical Cardiac Surgery in a Patient Seemed to be Inoperable Due to Very Poor Left Ventricular Function: A Case Report

IF 0.7 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Heart Surgery Forum Pub Date : 2023-11-06 DOI:10.59958/hsf.5779
JeongA Lee, Masahiro Tsutsui, Nobuhiro Mochizuki, Yuki Setogawa, Fumitaka Suzuki, Masahiko Narita, Aina Hirofuji, Shingo Kunioka, Tomonori Shirasaka, Natsuya Ishikawa, Sayaka Yuzawa, Hiroyuki Kamiya
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Abstract

Cases that are inoperable owing to poor preoperative conditions are sometimes encountered. However, there are some cases that are led to radical treatment by performing bridge therapy. Here, we presented a case of a patient with complex cardiac disease in an inoperable state who underwent bridging therapy that led to successful surgical treatment. A 73-year-old male who received hemodialysis treatment and had severe aortic valve stenosis and coronary artery disease planned surgical treatment. However, he was deemed inoperable owing to his low cardiac function and hemodynamic instability. Therefore, to escape from a fatal condition, we first performed balloon aortic valvuloplasty and percutaneous coronary intervention as palliative procedures. Subsequently, his cardiac function and hemodynamic stability remarkably improved; therefore, after 1 month, we performed a successful radical surgical treatment. Even in inoperable patients, bridging therapy leading to radical treatment is possible.
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介入桥接治疗根治性心脏手术患者因左心室功能极差而无法手术:1例报告
由于术前条件不佳而不能手术的病例有时也会遇到。然而,也有一些病例通过桥接治疗导致根治性治疗。在这里,我们提出了一个病例的复杂心脏疾病的病人在不能手术的状态下,谁接受桥接治疗,导致成功的手术治疗。73岁男性,接受血液透析治疗,有严重主动脉瓣狭窄和冠状动脉疾病,计划手术治疗。然而,由于他的心功能低下和血流动力学不稳定,他被认为不能手术。因此,为了避免致命的情况,我们首先进行了球囊主动脉瓣成形术和经皮冠状动脉介入治疗作为姑息性手术。随后心功能和血流动力学稳定性明显改善;因此,1个月后,我们成功地进行了根治性手术治疗。即使对于不能手术的病人,桥接疗法也可以导致根治性治疗。
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来源期刊
Heart Surgery Forum
Heart Surgery Forum 医学-外科
CiteScore
1.20
自引率
16.70%
发文量
130
审稿时长
6-12 weeks
期刊介绍: The Heart Surgery Forum® is an international peer-reviewed, open access journal seeking original investigative and clinical work on any subject germane to the science or practice of modern cardiac care. The HSF publishes original scientific reports, collective reviews, case reports, editorials, and letters to the editor. New manuscripts are reviewed by reviewers for originality, content, relevancy and adherence to scientific principles in a double-blind process. The HSF features a streamlined submission and peer review process with an anticipated completion time of 30 to 60 days from the date of receipt of the original manuscript. Authors are encouraged to submit full color images and video that will be included in the web version of the journal at no charge.
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