心内膜炎瓣膜置换术后主动脉-右室瘘修复的桥梁植入一例。

IF 0.7 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Heart Surgery Forum Pub Date : 2023-07-04 DOI:10.59958/hsf.5519

Masahiko Narita, Masahiro Tsutsui, Ryohei Ushioda, Yuta Kikuchi, Tomonori Shirasaka, Hiroyuki Kamiya

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引用次数: 0

摘要

据报道，对于心源性休克患者，采用机械循环支持的延迟手术比急诊手术效果更好。我们报告一个82岁的男性诊断为椎体骨髓炎合并感染性心内膜炎。胸部x光片显示一个不断扩大的脓肿，导致主动脉-右心室瘘。在手术前提供Impella支持以稳定血流动力学。患者术后进展顺利，1年后随访情况良好。在心源性休克患者中，Impella支架可作为手术修复瘘道形成的桥梁。

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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Impella Implantation as a Bridge to Surgery for Repair of Aorto-Right Ventricular Fistula Following Prosthetic Valve Endocarditis: A Case Report.

For patients with cardiogenic shock, delaying surgery with mechanical circulatory support is reported to yield better outcomes than emergency surgery. We report on an 82-year-old man diagnosed with vertebral osteomyelitis with concomitant infective endocarditis. Chest radiographs revealed a growing abscess, which resulted in an aorto-right ventricular fistula. Providing Impella support allowed for hemodynamic stabilization prior to surgery. The patient had an uneventful postoperative course and reported to be well in a follow-up 1 year later. Impella support can be used as a bridge to surgery for repairing fistulous tract formation in patients in cardiogenic shock.

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来源期刊

Heart Surgery Forum 医学-外科

CiteScore

1.20

自引率

16.70%

发文量

130

审稿时长

6-12 weeks

期刊介绍： The Heart Surgery Forum® is an international peer-reviewed, open access journal seeking original investigative and clinical work on any subject germane to the science or practice of modern cardiac care. The HSF publishes original scientific reports, collective reviews, case reports, editorials, and letters to the editor. New manuscripts are reviewed by reviewers for originality, content, relevancy and adherence to scientific principles in a double-blind process. The HSF features a streamlined submission and peer review process with an anticipated completion time of 30 to 60 days from the date of receipt of the original manuscript. Authors are encouraged to submit full color images and video that will be included in the web version of the journal at no charge.