Mechanical bridge to recovery in fulminant myocarditis

被引:14
作者
Westaby, S [1 ]
Katsumata, T
Pigott, D
Jin, XY
Saatvedt, K
Horton, M
Clark, RE
机构
[1] John Radcliffe Hosp, Oxford Heart Ctr, Dept Cardiac Surg, Oxford OX3 9DU, England
[2] John Radcliffe Hosp, Oxford Heart Ctr, Dept Anesthesiol, Oxford OX3 9DU, England
关键词
D O I
10.1016/S0003-4975(00)01450-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A patient with acute fulminant lymphocytic myocarditis and cardiogenic shock was successfully treated by mechanical offloading of the left ventricle. A nonpulsatile left-heart bypass was undertaken with an implantable centrifugal blood pump. Careful weaning resulted in device removal on the seventh day. Left and right ventricular function is sustained at 7 months. Widespread application of this method depends on the availability of an inexpensive user friendly blood pump, appropriate weaning protocols and emerging strategies to promote sustainable myocardial recovery. (Ann Thorac Surg 2000;70:278-83) (C) 2000 by The Society of Thoracic Surgeons.
引用
收藏
页码:278 / 282
页数:5
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