6 Months of "Temporary" Support by Levitronix Left Ventricular Assist Device

被引:11
|
作者
Barbone, Alessandro [1 ]
Malvindi, Pietro Giorgio
Sorabella, Robert A. [3 ]
Cortis, Graziano [2 ]
Tosi, Paolo F. [2 ]
Basciu, Alessio
Ferrara, Pietro [2 ]
Raffa, Giuseppe
Citterio, Enrico
Settepani, Fabrizio
Ornaghi, Diego
Tarelli, Giuseppe
Vitali, Ettore
机构
[1] Ist Clin Humanitas IRCCS, UO Cardiochirurg, Area Med Ovest 1, I-20089 Milan, Italy
[2] Ist Clin Humanitas IRCCS, UO Cardioanestesia, I-20089 Milan, Italy
[3] Columbia Univ Coll Phys & Surg, Med Ctr, New York Presbyterian Hosp, Div Cardiothorac Surg, New York, NY 10032 USA
关键词
Mechanical support; Multiorgan failure; Fungal infection; Extracorporeal membrane oxygenation; Paracorporeal device; Left ventricular assist device; Candida parapsilosis; OF-THE-LITERATURE; ENDOCARDITIS; INFECTIONS;
D O I
10.1111/j.1525-1594.2011.01428.x
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
An otherwise healthy 47-year-old man presented to the emergency department in cardiogenic shock after suffering a massive myocardial infarction due to left main occlusion. He was initially supported by extracorporeal membrane oxygenation and subsequently was converted to paracorporeal support with a Levitronix left ventricular assist device. He experienced multiple postoperative complications including renal failure, respiratory failure, retroperitoneal hematoma requiring suspension of anticoagulation, and fungal bloodstream infection precluding transition to an implantable device. He was reconditioned and successfully underwent orthotopic heart transplant 183 days after presentation. A discussion of the relevant issues is included.
引用
收藏
页码:639 / 642
页数:4
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