双心室辅助装置治疗婴儿急性心肌炎

• 作 者: Lee J.Y. Jin Kim S. 杜媛
• 出 处: 世界核心医学期刊文摘(心脏病学分册)
• 发表日期: 2006年04期
• 关键词: 急性心肌炎 心室辅助装置 心肌炎患儿 心室功能 体外膜式氧合器 血流动力学 进行性恶化 超声心动图 心源性休克 机械循环

A 5-month-old boy was admitted to hospital presenting with cardiogenic shock. The echocardiographic examinations revealed a severe ventricular dysfunction. Despite the aggressive medical therapy, his hemodynamic status progressively deteriorated. Mechanical circulatory support was initially provided with extracorporeal membrane oxygenation(ECMO). Because his hemodynamic condition had not improved, the ECMO was removed and a biventricular assist device(BVAD)was instituted. After 10 days, the ventricular function had recovered and the BVAD could be removed. This report describes a successful bridge to recovery using a BVAD in an infant suffering fr om acute myocarditis.

A 5-month-old boy was admitted to hospital presenting with cardiogenic shock. The echocardiographic examinations revealed a severe ventricular dysfunction. Despite the aggressive medical therapy, his hemodynamic status was progressively deteriorated. Mechanical circulatory support was initially provided with extracorporeal membrane oxygenation (ECMO) Since his hemodynamic condition had not improved, the ECMO was removed and a biventricular assist device (BVAD) was instituted. After 10 days, the ventricular function had recovered and the BVAD could be removed. This report describes a successful bridge to recovery using a BVAD in an infant suffering fr om acute myocarditis.