Restoration of Epicardial Blood Flow After Left Ventricular Unloading With the Impella CP Heart Pump in a Patient With STEMI Treated With Surgical Revascularization.
Jason Liu, Syed B Peer, Samar S Sheth, Gabriel Loor
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引用次数: 0
Abstract
Left main occlusion presenting as ST-segment elevation myocardial infarction is an exceedingly morbid condition. This article reports a case of cardiac arrest in a patient after a treadmill stress test. Coronary angiography revealed 100% occlusion of the left main coronary artery. Left ventricular unloading with the Impella CP heart pump (ABIOMED/Johnson & Johnson MedTech) was used, after which epicardial blood flow was restored without angioplasty. The patient underwent surgical revascularization. Despite a prolonged revascularization time, there was no evidence of severe myocardial injury postoperatively.
左主干闭塞表现为 ST 段抬高型心肌梗死是一种非常危险的疾病。本文报告了一例患者在接受跑步机压力测试后心脏骤停的病例。冠状动脉造影显示左冠状动脉主干100%闭塞。使用 Impella CP 心脏泵（ABIOMED/Johnson & Johnson MedTech）进行左心室减压，之后无需血管成形术即可恢复心外膜血流。患者接受了外科血管再通手术。尽管血管再通时间较长，但术后并未发现严重的心肌损伤。
期刊介绍：
For more than 45 years, the Texas Heart Institute Journal has been published by the Texas Heart Institute as part of its medical education program. Our bimonthly peer-reviewed journal enjoys a global audience of physicians, scientists, and healthcare professionals who are contributing to the prevention, diagnosis, and treatment of cardiovascular disease.
The Journal was printed under the name of Cardiovascular Diseases from 1974 through 1981 (ISSN 0093-3546). The name was changed to Texas Heart Institute Journal in 1982 and was printed through 2013 (ISSN 0730-2347). In 2014, the Journal moved to online-only publication. It is indexed by Index Medicus/MEDLINE and by other indexing and abstracting services worldwide. Our full archive is available at PubMed Central.
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