Resuscitation and recovery from acute right ventricular failure using a percutaneous right ventricular assist device

被引:43
作者
Atiemo, Andrew D.
Conte, John V.
Heldman, Alan W.
机构
[1] Johns Hopkins Univ, Sch Med, Dept Med, Div Cardiol, Baltimore, MD 21205 USA
[2] Johns Hopkins Univ, Sch Med, Dept Cardiol, Div Cardiac Surg, Baltimore, MD 21205 USA
关键词
percutaneous ventricular assist device; right ventricular infarction;
D O I
10.1002/ccd.20691
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A number of techniques have been proposed for circulatory support in patients with severe right heart failure. We report on a patient with right ventricular (RV) infarction complicated by cardiogenic shock, who was resuscitated by the novel use of a percutaneous right ventricular assist device. The moribund patient had striking hemodynamic and clinical improvement after placement of a right atrial to pulmonary artery assist circuit. RV decompression for 3 days was accompanied by recovery of contractile function, and the patient was successfully weaned from the device. Future trials are needed to assess the effectiveness of the percutaneous ventricular assist device in patients with RV failure.
引用
收藏
页码:78 / 82
页数:5
相关论文
共 26 条
[1]   Mechanical left ventricular unloading prior to reperfusion reduces infarct size in a canine infarction model [J].
Achour, H ;
Boccalandro, F ;
Felli, P ;
Amirian, J ;
Uthman, M ;
Buja, M ;
Smalling, RW .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2005, 64 (02) :182-192
[2]   Response to inhaled nitric oxide in patients with acute right heart syndrome [J].
Bhorade, S ;
Christenson, J ;
O'Connor, M ;
Lavoie, A ;
Pohlman, A ;
Hall, JB .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1999, 159 (02) :571-579
[3]   Right ventricular dysfunction during coronary artery occlusion: pressure-volume analysis using conductance catheters during coronary angioplasty [J].
Bishop, A ;
White, P ;
Groves, P ;
Chaturvedi, R ;
Brookes, C ;
Redington, A ;
Oldershaw, P .
HEART, 1997, 78 (05) :480-487
[4]   Effect of reperfusion on biventricular function and survival after right ventricular infarction [J].
Bowers, TR ;
O'Neill, WW ;
Grines, C ;
Pica, MC ;
Safian, RD ;
Goldstein, JA .
NEW ENGLAND JOURNAL OF MEDICINE, 1998, 338 (14) :933-940
[5]  
Bueno H, 1997, CIRCULATION, V96, P436
[6]   Experience with right ventricular assist devices for perioperative right sided circulatory failure [J].
Chen, JM ;
Levin, HR ;
Rose, EA ;
Addonizio, LJ ;
Landry, DW ;
Sistino, JJ ;
Michler, RE ;
Oz, MC .
ANNALS OF THORACIC SURGERY, 1996, 61 (01) :305-310
[7]   Right ventricular failure after left ventricular assist device implantation:: The need for an implantable right ventricular assist device [J].
Furukawa, K ;
Motomura, T ;
Nosé, Y .
ARTIFICIAL ORGANS, 2005, 29 (05) :369-377
[8]   Isolated right ventricular assist for postcardiotomy myocardial infarction [J].
Hangler, HB ;
Bonatti, JO ;
Antretter, H ;
Mair, P ;
Müller, LC .
ANNALS OF THORACIC SURGERY, 1999, 68 (06) :2326-2328
[9]   Hernodynamic effects of inhaled nitric oxide in right ventricular myocardial infarction and cardiogenic shock [J].
Inglessis, I ;
Shin, JT ;
Lepore, JJ ;
Palacios, IF ;
Zapol, WM ;
Bloch, KD ;
Semigran, MJ .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2004, 44 (04) :793-798
[10]  
Kaul TK, 2000, J CARDIOVASC SURG, V41, P349