扩张型心肌病患者短期双心室辅助装置支持后的心肌恢复。

IF 1.3 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Cardiac Surgery Pub Date : 2022-12-01 DOI:10.1111/jocs.17148

Khaled Alotaibi, Abeer Bakhsh, Fahmi Alkhaf, Ahmed Amro, Mohammad Albarrak, Tarek Tantawy, Amr A Arafat, Adam I Adam

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引用次数: 0

摘要

终末期心力衰竭患者的管理仍然具有挑战性。我们报告一个特发性扩张型心肌病的病例，他经历了一个具有挑战性的过程。该病例表现为急性心力衰竭综合征，迅速恶化为心源性休克和心脏骤停，需要体外膜氧合器，然后植入双心室辅助装置以支持循环。这个过程伴随着严重的胃肠道出血和多器官功能衰竭，直到心脏和器官完全恢复。放电时左心室射血分数从10%提高到50%。

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Myocardial recovery in a patient with dilated cardiomyopathy after short-term biventricular assist device support.

Management of patients with end-stage heart failure is still challenging. We report a case of idiopathic dilated cardiomyopathy who went through a challenging course. The case was presented as acute heart failure syndrome, which rapidly declined into cardiogenic shock and cardiac arrest that required an extracorporeal membrane oxygenator, then biventricular assist device implantation for circulatory support. The course was complicated with severe gastrointestinal bleeding and multiorgan failure until achieving full cardiac and organ recovery. The left ventricle ejection fraction improved from 10% to 50% at discharge.

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来源期刊

Journal of Cardiac Surgery 医学-外科

CiteScore

2.90

自引率

12.50%

发文量

976

审稿时长

3-8 weeks

期刊介绍： Journal of Cardiac Surgery (JCS) is a peer-reviewed journal devoted to contemporary surgical treatment of cardiac disease. Renown for its detailed "how to" methods, JCS''s well-illustrated, concise technical articles, critical reviews and commentaries are highly valued by dedicated readers worldwide. With Editor-in-Chief Harold Lazar, MD and an internationally prominent editorial board, JCS continues its 20-year history as an important professional resource. Editorial coverage includes biologic support, mechanical cardiac assist and/or replacement and surgical techniques, and features current material on topics such as OPCAB surgery, stented and stentless valves, endovascular stent placement, atrial fibrillation, transplantation, percutaneous valve repair/replacement, left ventricular restoration surgery, immunobiology, and bridges to transplant and recovery. In addition, special sections (Images in Cardiac Surgery, Cardiac Regeneration) and historical reviews stimulate reader interest. The journal also routinely publishes proceedings of important international symposia in a timely manner.