A Case Report About Cardiac Arrest After Left Ventricular Assist Device Explantation.

IF 3.1 3区医学 Q2 ENGINEERING, BIOMEDICAL

ASAIO Journal Pub Date : 2024-09-11 DOI:10.1097/mat.0000000000002304

Edisson Nemer,Rami Rassam,Ann Hallberg Kristensen,Tonje Thorvaldsen,Magnus Dalén,Emil Najjar

引用次数: 0

Abstract

Hemodynamic unloading by left ventricular assist devices (LVADs) in patients with advanced heart failure can result in reverse remodeling and cardiac recovery allowing pump removal. Ventriculoplasty during explantation may cause fibrosis and ventricular scars which can provide a substrate for reentry, a common cause of ventricular arrythmias. In this case report, we describe the clinical course of a patient who suffered a cardiac arrest in the following few months after undergoing LVAD explantation because of cardiac recovery. This case highlights a potential risk related to complete LVAD explantation with ventriculoplasty and patch repair of the apex.

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左心室辅助装置爆炸后心脏骤停的病例报告

晚期心力衰竭患者使用左心室辅助装置（LVAD）进行血流动力学卸载可导致反向重塑和心脏恢复，从而允许移除泵。拆卸过程中的心室成形术可能会导致纤维化和心室疤痕，从而为室性心律失常的常见原因--再入路提供基质。在本病例报告中，我们描述了一名患者的临床病程，该患者在接受 LVAD 取出术后数月因心脏恢复而心跳骤停。本病例强调了与心室成形术和心尖补片修复术同时进行 LVAD 完全置换术相关的潜在风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ASAIO Journal 医学-工程：生物医学

CiteScore

6.60

自引率

7.10%

发文量

651

审稿时长

4-8 weeks

期刊介绍： ASAIO Journal is in the forefront of artificial organ research and development. On the cutting edge of innovative technology, it features peer-reviewed articles of the highest quality that describe research, development, the most recent advances in the design of artificial organ devices and findings from initial testing. Bimonthly, the ASAIO Journal features state-of-the-art investigations, laboratory and clinical trials, and discussions and opinions from experts around the world. The official publication of the American Society for Artificial Internal Organs.