Post-myocardial infarction ventricular septal defect repair via right ventriculotomy with concomitant durable Heartmate 3 implantation after bridging with Impella 5.5.

IF 2.2 3区 医学 Q3 ENGINEERING, BIOMEDICAL Artificial organs Pub Date : 2024-09-05 DOI:10.1111/aor.14857
Aaron Guo, Jason M Gauthier, Erin M Schumer, Justin M Vader, Kunal Kotkar, Muhammad F Masood, Amit Pawale
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Abstract

In patients with post-myocardial infarction ventricular septal defects, temporary left ventricular support using Impella 5.5 can decrease shunting, facilitate peri-infarct tissue remodeling, and allow for assessment of myocardial recovery prior to repair. When there is inadequate cardiac recovery, implantation of a durable left ventricular assist device such as HeartMate 3 at time of repair can be safely performed. A right ventriculotomy provides multiple advantages when performing VSD repair and concomitant HeartMate 3 placement.

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心肌梗死后通过右心室切开术修复室间隔缺损,并在与 Impella 5.5 桥接后同时植入耐用的 Heartmate 3。
对于心肌梗塞后室间隔缺损患者,使用 Impella 5.5 进行临时左心室支持可以减少分流,促进梗塞周围组织重塑,并在修复前评估心肌恢复情况。当心脏恢复不充分时,可以在修复时安全地植入耐用的左心室辅助装置,如 HeartMate 3。在进行 VSD 修复并同时植入 HeartMate 3 时,右心室切开术具有多种优势。
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来源期刊
Artificial organs
Artificial organs 工程技术-工程:生物医学
CiteScore
4.30
自引率
12.50%
发文量
303
审稿时长
4-8 weeks
期刊介绍: Artificial Organs is the official peer reviewed journal of The International Federation for Artificial Organs (Members of the Federation are: The American Society for Artificial Internal Organs, The European Society for Artificial Organs, and The Japanese Society for Artificial Organs), The International Faculty for Artificial Organs, the International Society for Rotary Blood Pumps, The International Society for Pediatric Mechanical Cardiopulmonary Support, and the Vienna International Workshop on Functional Electrical Stimulation. Artificial Organs publishes original research articles dealing with developments in artificial organs applications and treatment modalities and their clinical applications worldwide. Membership in the Societies listed above is not a prerequisite for publication. Articles are published without charge to the author except for color figures and excess page charges as noted.
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Issue Information Cover Image Upcoming Meetings Development and validation of a questionnaire on bodily experience in VAD patients (BE-S). Single-center experience of extended brain-death donor heart preservation with the organ care system.
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