Yuriy Stukov, Jeffrey P Jacobs, Kayla V Lucas, Mark Bleiweis, Giles J Peek
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引用次数: 0
Abstract
Patients with a congenital heart disease and unfavourable anatomy that are not amenable to the primary correction of the defect might need a ventricular assist device as a bridge to a transplant. Pulsatile paracorporeal ventricular assist devices represent excellent options for supporting these patients with complex conditions. The Berlin Heart EXCOR is a such a paracorporeal pulsatile ventricular device. Pulsatile flow is more physiologic because it resembles the natural circulation pumped by the heart. The Berlin Heart EXCOR is a displacement pump; therefore, the risk for increased haemolysis is greater. If the patient experiences haemolysis despite a change the pump flow rate while on a Berlin Heart EXCOR ventricular assist device, a pump exchange to continuous flow may be beneficial. In this case report, we present a patient with severe haemolysis due to a displacement pump and the step-by-step technique for changing from a pulsatile to a continuous flow ventricular assist device.
期刊介绍：
The Multimedia Manual of Cardio-Thoracic Surgery (MMCTS) is produced by The European Association for Cardio-Thoracic Surgery (EACTS). MMCTS is the world’s premier video-based educational resource for cardiovascular and thoracic surgeons; freely accessible - and essential - for all. MMCTS was launched more than ten years ago under the leadership of founding editor Professor Marko Turina. It was Professor Turina’s vision that the European Association for Cardio-Thoracic Surgery (EACTS), already the world-leader in CT surgery education, should take advantage of the Internet’s rapidly improving video publication capabilities and create a new step-by-step manual of surgical procedures. Professor Turina and EACTS agreed that the manual, MMCTS, should be freely accessible to all users, regardless of association membership status, nationality, or affiliation. MMCTS was self-published by EACTS for some years before being transferred to Oxford University Press, which hosted it until the end of 2016. In November 2016, the Manual returned home to EACTS and it has now relaunched in a completely new format. Since its birth in 2005, MMCTS has published some 400 detailed, video-based demonstrations of cardio-thoracic surgical procedures. Tutorials published prior to 2012 have been archived and we are working with the authors of these tutorials to update their work pending republication on the new site. Our mission is to make MMCTS the best online reference for cardio-thoracic surgeons – residents and experienced surgeons alike. Our aim is to include tutorials presenting procedures at both a fundamental and an advanced level. Truly innovative procedures are also included and are identified as such.
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