机械性胸压留置Impella致亚急性主动脉破裂。

IF 0.3 Q4 SURGERY Thoracic and Cardiovascular Surgeon Reports Pub Date : 2022-11-09 eCollection Date: 2022-01-01 DOI:10.1055/s-0042-1757873
Kiril Penov, Dejan Radakovic, Nodir Madrahimov, Ivan Aleksic
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引用次数: 1

摘要

机械心肺复苏术(CPR)设备,如隆德大学心肺辅助系统(LUCAS),比标准的心肺复苏术造成更多的骨骼和内脏损伤。一名62岁的st段抬高型心肌梗死妇女在经皮冠状动脉介入治疗中因难治性心源性休克应用LUCAS和Impella CP复苏。她患了延迟性升主动脉破裂,需要行腹上升主动脉置换术加三重旁路移植术。长时间机械心肺复苏术伴穿刺可导致主动脉破裂。LUCAS和Impella的联合使用可能会产生灾难性的后果。
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Subacute Aortic Rupture Due to Mechanical Chest Compression with Indwelling Impella.

Mechanical cardiopulmonary resuscitation (CPR) devices like Lund University Cardiopulmonary Assist System (LUCAS) cause more skeletal and visceral injuries than standard CPR. A 62-year-old woman with ST-elevation myocardial infarction was resuscitated with LUCAS and Impella CP for refractory cardiogenic shock during percutaneous coronary intervention. She suffered delayed ascending aortic rupture necessitating supracommissural ascending aortic replacement plus triple bypass grafting. Prolonged mechanical CPR with concomitant Impella may lead to aortic rupture. The combined use of LUCAS and Impella may have disastrous consequences.

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