SUCCESSFUL EXTRACORPOREAL CIRCULATORY SUPPORT AFTER AORTIC REIMPLANTATION OF ANOMALOUS LEFT CORONARY-ARTERY

被引：15

作者：

ALEXIMESKISHVILI, V

HETZER, R

WENG, Y

LOEBE, M

LANGE, PE

ISHINO, K

机构：

[1] Department of Cardiothoracic and Vascular Surgery, German Heart Institute Berlin, Berlin, D-13353

来源：

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 1994年 / 8卷 / 10期

关键词：

CORONARY MALFORMATIONS; EXTRACORPOREAL MEMBRANE OXYGENATION; ASSISTED CIRCULATION; MYOCARDIAL RECOVERY;

D O I：

10.1016/1010-7940(94)90071-X

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The development of severe heart failure is the main cause of postoperative mortality after the surgical treatment of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). Two patients with ALCAPA who developed low cardiac output and could not be weaned from cardiopulmonary bypass (CPB) after aortic reimplantation of the anomalous left coronary artery were successfully treated with a centrifugal left ventricular assist device (LVAD) and extracorporeal membrane oxygenation (ECMO). The circulation of a 10-month-old infant with severe left ventricular dysfunction was supported 192 h postoperatively with a LVAD and a 9-year-old boy with severe right ventricular failure received ECMO support for 99 h following surgery. Both patients survived and, 4 and 9 months after surgery, are asymptomatic and have normal ventricular function. If CPB (up to 3 h) is not effective in improving ventricular function after surgery for ALCAPA, ECMO or LVAD must be used since myocardial recovery in these patients can occur only after prolonged extracorporeal circulatory support.

引用

页码：533 / 536

页数：4

共 21 条

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