THE USE OF AN IMPLANTABLE LEFT-VENTRICULAR ASSIST DEVICE FOLLOWING IRREVERSIBLE VENTRICULAR-FIBRILLATION SECONDARY TO MASSIVE MYOCARDIAL-INFARCTION

被引:4
作者
LEWIS, CT [1 ]
GRAHAM, TR [1 ]
MARRINAN, MT [1 ]
CHALMERS, JAC [1 ]
COLVIN, MP [1 ]
WITHINGTON, PS [1 ]
COUMBE, A [1 ]
机构
[1] LONDON HOSP,DEPT CARDIOTHORAC SURG,WHITECHAPEL,LONDON E1 1BB,ENGLAND
关键词
Left ventricular assist device; Myocardial infarction;
D O I
10.1016/1010-7940(90)90243-S
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A TCI1 rough surface left ventricular assist device (LVAD) was implantedin a 47-year-old man who had sustained a recent massive myocardialinfarction complicated by ventricular failure which remained unresponsiveto intra-aortic balloon pump therapy and which was further complicated byirreversible ventricular fibrillation. Following implantation of the deviceand while awaiting a suitable donor organ for transplantation, furtherextension of the previous infarct resulted in left ventricular rupture andmassive haemorrhage which led to his death. We report the successful use ofthe device in providing haemodynamic support, but caution againstinordinate delay in bridging to transplantation patients who are at risk ofextension of infarction. © Springer-Verlag 1990.
引用
收藏
页码:54 / 56
页数:3
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