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Total percutaneous biventricular assist device implantation for fulminant myocarditis.
Tominaga, Yuji; Toda, Koichi; Miyagawa, Shigeru; Yoshioka, Daisuke; Kainuma, Satoshi; Kawamura, Takuji; Kawamura, Ai; Nakamoto, Kei; Sakata, Yasushi; Sawa, Yoshiki.
Afiliación
  • Tominaga Y; Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Yamadaoka, 2-2, Suita, Osaka, 565-0871, Japan. ytomtomy@gmail.com.
  • Toda K; Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Yamadaoka, 2-2, Suita, Osaka, 565-0871, Japan.
  • Miyagawa S; Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Yamadaoka, 2-2, Suita, Osaka, 565-0871, Japan.
  • Yoshioka D; Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Yamadaoka, 2-2, Suita, Osaka, 565-0871, Japan.
  • Kainuma S; Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Yamadaoka, 2-2, Suita, Osaka, 565-0871, Japan.
  • Kawamura T; Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Yamadaoka, 2-2, Suita, Osaka, 565-0871, Japan.
  • Kawamura A; Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Yamadaoka, 2-2, Suita, Osaka, 565-0871, Japan.
  • Nakamoto K; Department of Cardiology, Osaka University Graduate School of Medicine, Osaka, Japan.
  • Sakata Y; Department of Cardiology, Osaka University Graduate School of Medicine, Osaka, Japan.
  • Sawa Y; Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Yamadaoka, 2-2, Suita, Osaka, 565-0871, Japan. sawa-p@surg1.med.osaka-u.ac.jp.
J Artif Organs ; 24(2): 254-257, 2021 Jun.
Article en En | MEDLINE | ID: mdl-32748246
We report an effective therapeutic approach of mechanical circulatory support for a patient with cardiogenic shock and respiratory insufficiency due to fulminant myocarditis. An Impella® 5.0 was utilized as a left ventricular assist device (VAD) and percutaneous veno-pulmonary extracorporeal membrane oxygenation (ECMO) as a right VAD. These devices were implanted without sternotomy or thoracotomy. Although a combination of Impella and veno-arterial ECMO has been reported as percutaneous biventricular support, there are concerns that this combination is not beneficial for myocardial recovery in patients with respiratory insufficiency, because Impella expels insufficiently oxygenated blood from the left ventricle to the coronary arteries. Our approach took advantage of percutaneous implantation of ECMO and temporary VAD, eliminating the drawbacks of both devices, thus providing a more effective and less invasive form of temporary biventricular support.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Choque Cardiogénico / Oxigenación por Membrana Extracorpórea / Corazón Auxiliar / Implantación de Prótesis de Válvulas Cardíacas / Miocarditis Tipo de estudio: Etiology_studies Límite: Female / Humans / Middle aged Idioma: En Revista: J Artif Organs Asunto de la revista: ENGENHARIA BIOMEDICA Año: 2021 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Choque Cardiogénico / Oxigenación por Membrana Extracorpórea / Corazón Auxiliar / Implantación de Prótesis de Válvulas Cardíacas / Miocarditis Tipo de estudio: Etiology_studies Límite: Female / Humans / Middle aged Idioma: En Revista: J Artif Organs Asunto de la revista: ENGENHARIA BIOMEDICA Año: 2021 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón