一例挖掘胸肌患者植入70mL全人工心脏期间的顽固性低血压：一例报告。

IF 1.1 Q3 ANESTHESIOLOGY

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2023-09-01 Epub Date: 2023-02-20 DOI:10.1177/10892532231157529

Brendon Hart, Nahush A Mokadam, Karina Anam, Samiya Saklayen, Galina Dimitrova, Alix Zuleta-Alarcon, Jordan Holloway, Hamdy Awad, David Convissar, Michael Essandoh

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引用次数: 1

摘要

Syncardia全人工心脏系统是唯一一种商业批准的耐用设备，用于治疗等待心脏移植的双心室心力衰竭患者。传统上，根据从第10胸椎的前部到胸骨的距离和患者的体表面积来植入Syncardia全人工心脏系统。然而，这一标准并不适用于胸壁肌肉骨骼畸形。本病例报告描述了一名患有漏斗胸的患者，他在Syncardia全人工心脏植入术后出现下腔静脉压迫，以及经食道超声心动图如何指导胸壁手术以适应全人工心脏系统。

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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Refractory Hypotension During Implantation of a 70 mL Total Artificial Heart in a Patient With Pectus Excavatum: A Case Report.

The Syncardia total artificial heart system is the only commercially approved durable device for treating biventricular heart failure patients awaiting heart transplantation. Conventionally, the Syncardia total artificial heart system is implanted based on the distance from the anterior aspect of the 10th thoracic vertebra to the sternum and the patient's body surface area. However, this criterion does not account for chest wall musculoskeletal deformities. This case report describes a patient with a pectus excavatum who developed compression of the inferior vena cava after Syncardia total artificial heart implantation and how transesophageal echocardiography guided chest wall surgery to accommodate the total artificial heart system.

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来源期刊

Seminars in Cardiothoracic and Vascular Anesthesia ANESTHESIOLOGY-

CiteScore

3.60

自引率

14.30%

发文量