外周插管对静脉-动脉ECMO患者主动脉瓣和二尖瓣功能不全的肺循环完全逆转（RPC）： 1例报告。

IF 1.1 4区医学 Q4 ENGINEERING, BIOMEDICAL Journal of Artificial Organs Pub Date : 2024-12-13 DOI:10.1007/s10047-024-01483-7

Johannes Heymer, Daniel Bent, Daniel Raepple

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引用次数: 0

摘要

本病例报告详细介绍了一例56岁男性患者在心肌梗死和心脏骤停后急诊心肺复苏（eCPR）期间接受静脉-动脉体外膜氧合（V-A ECMO）的肺循环完全逆转（RPC）的罕见病例。先前未被识别的主动脉瓣和二尖瓣反流，以及V-A ECMO血流，导致严重的肺水肿。我们描述了肺动脉插管和将ECMO回路修改为静脉-肺动脉-动脉（VPa-A） ECMO如何成功缓解严重的肺水肿，但可能导致肺循环逆转（RPC）。据我们所知，这是首次报道的人类出现这种现象的病例。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Total reversal of the pulmonary circulation (RPC) induced by peripheral cannulation for veno-arterial ECMO in a patient with aortic and mitral valve insufficiency: a case report.

This case report details a rare instance of total reversal of the pulmonary circulation (RPC) in a 56-year-old male patient on veno-arterial extracorporeal membrane oxygenation (V-A ECMO) during emergency cardiopulmonary resuscitation (eCPR) following a myocardial infarction and cardiac arrest. Previously unrecognized aortic and mitral valve regurgitations, along with V-A ECMO flow, resulted in severe pulmonary edema. We describe how pulmonary artery cannulation and modifying the ECMO circuit to veno-pulmonary arterial-arterial (VPa-A) ECMO successfully alleviated the severe pulmonary edema but may have caused reversal of the pulmonary circulation (RPC). To our knowledge, this is the first reported case of this phenomenon in a human.

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来源期刊

Journal of Artificial Organs 医学-工程：生物医学

CiteScore

2.80

自引率

15.40%

发文量

审稿时长

6-12 weeks

期刊介绍： The aim of the Journal of Artificial Organs is to introduce to colleagues worldwide a broad spectrum of important new achievements in the field of artificial organs, ranging from fundamental research to clinical applications. The scope of the Journal of Artificial Organs encompasses but is not restricted to blood purification, cardiovascular intervention, biomaterials, and artificial metabolic organs. Additionally, the journal will cover technical and industrial innovations. Membership in the Japanese Society for Artificial Organs is not a prerequisite for submission.