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

被引：0

作者：

Narita, Masahiko ^{[1
]}

Tsutsui, Masahiro ^{[1
]}

Ushioda, Ryohei ^{[1
]}

Kikuchi, Yuta ^{[1
]}

Shirasaka, Tomonori ^{[1
]}

Kamiya, Hiroyuki ^{[1
]}

机构：

[1] Asahikawa Med Univ, Dept Cardiac Surg, Asahikawa 0788510, Japan

来源：

HEART SURGERY FORUM | 2023年 / 26卷 / 04期

关键词：

aorto-cardiac fistula; bridge to surgery; cardiogenic shock; delayed surgery; Impella; infective endocarditis; vertebral osteomyelitis;

D O I：

10.59958/hsf.5519

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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 re-vealed 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.

引用

页码：311 / 315

页数：5

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