医学
心脏病学
心脏破裂
心肌梗塞
内科学
外科
心室
心力衰竭
心脏破裂
心源性休克
作者
Ryosuke Kowatari,Norihiro Kondo,Shuto Watanabe,Kazuyuki Daitoku,Masahito Minakawa
摘要
A 74-year-old woman developed inferior myocardial infarction due to right coronary artery occlusion and underwent percutaneous coronary intervention. Two days later, echocardiography revealed ventricular septal rupture, and Impella CP was inserted to avoid emergency surgery. However, the patient's hemodynamics deteriorated rapidly, necessitating additional venoarterial extracorporeal membranous oxygenation support with concomitant Impella support (ECPELLA). The ventricular septal rupture was surgically repaired using the extended sandwich technique via a right ventricular approach; the ascending aorta was clamped with the clampable portion of the Impella. The patient was successfully weaned from the Impella 3 days postsurgery. This case suggests that urgent surgery with ECPELLA support could be a useful option for patients with ventricular septal rupture, even in severe cases wherein emergency surgery is unavoidable.
科研通智能强力驱动
Strongly Powered by AbleSci AI