减肥手术期间的临时机械循环支持：通往耐用左心室辅助装置和心脏移植的新桥梁

The American Surgeon Pub Date : 2024-04-05 DOI:10.1177/00031348241244637

Theo Sher, Madison Noom, S. Ganam, J. Sujka, Debbie Rinde-Hoffman, C. DuCoin

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引用次数: 0

摘要

合并重度肥胖的晚期心力衰竭（HF）患者面临着独特的手术困境：减肥手术可以帮助患者达到心脏移植体重指数（BMI）标准，但不良的心脏功能会增加术中风险。根据国际心肺移植学会（ISHLT）的指南，体重指数大于 35 是正位心脏移植的禁忌症。本报告中介绍的在减肥手术期间使用 Impella 5.5 的临时机械循环支持（MCS）可能有助于解决某些患者的这一难题。我们介绍了三位重度肥胖和晚期心力衰竭（HF）患者，他们在 Impella 5.5（Abiomed 公司，马萨诸塞州丹佛斯）的支持下成功接受了减肥手术。

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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Temporary Mechanical Circulatory Support During Bariatric Surgery: A Novel Bridge to Durable Left Ventricular Assist Device and Cardiac Transplantation.

Advanced heart failure (HF) with comorbid severe obesity presents a unique surgical dilemma: bariatric surgery may help patients meet cardiac transplantation body mass index (BMI) criteria, but poor cardiac function puts them at increased intraoperative risk. Per International Society for Heart and Lung Transplantation (ISHLT) guidelines BMI > 35 is a contraindication for orthotopic heart transplantation. Temporary mechanical circulatory support (MCS) with Impella 5.5 during bariatric surgery, as presented in this report, may help solve this dilemma for some patients. We present three patients with severe obesity and advanced heart failure (HF) who underwent successful bariatric surgery while supported by Impella 5.5 (Abiomed, Inc., Danvers, MA).

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The American Surgeon

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