Cardiac Arrest in the Setting of Left Lung Herniation Following Combined Heart-Lung Transplant: Case Report.

IF 3.1 3区 医学 Q2 ENGINEERING, BIOMEDICAL ASAIO Journal Pub Date : 2024-11-25 DOI:10.1097/MAT.0000000000002355
Mariam ElSaban, Misty A Radosevich, Kelly M Pennington, Philip J Spencer, Erica D Wittwer
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Abstract

A 40 year old woman who underwent combined heart-lung transplant for familial severe pulmonary hypertension experienced episodes of nonsustained ventricular tachycardia followed by sudden ventricular fibrillation arrest 8 days after transplant. Postarrest investigations revealed left lower lobe herniation into the right lower hemithorax, prompting emergent reoperation, and hernia reduction. Arrhythmias resolved following reduction of the herniated lung and facilitated rapid weaning from vasopressor and ventilatory support. To our knowledge, this is the first reported case of cardiac arrest due to lung herniation after combined heart-lung transplantation. Herein, we describe this rare presentation and offer insights and management strategies for the cardiac intensivist.

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心肺联合移植后左肺疝心脏骤停1例。
一名因家族性重度肺动脉高压接受联合心肺移植的40岁女性在移植后8天出现非持续性室性心动过速,随后出现突发性心室颤动。术后检查显示左下叶疝进入右下半胸,促使紧急再手术和疝复位。在肺疝复位后,心律失常得以缓解,并有助于快速脱离血管加压剂和呼吸支持。据我们所知,这是首例报道的心肺联合移植后肺疝导致心脏骤停的病例。在此,我们将描述这种罕见的表现,并为心脏强化医师提供见解和管理策略。
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来源期刊
ASAIO Journal
ASAIO Journal 医学-工程:生物医学
CiteScore
6.60
自引率
7.10%
发文量
651
审稿时长
4-8 weeks
期刊介绍: ASAIO Journal is in the forefront of artificial organ research and development. On the cutting edge of innovative technology, it features peer-reviewed articles of the highest quality that describe research, development, the most recent advances in the design of artificial organ devices and findings from initial testing. Bimonthly, the ASAIO Journal features state-of-the-art investigations, laboratory and clinical trials, and discussions and opinions from experts around the world. The official publication of the American Society for Artificial Internal Organs.
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