[A case report of Impella-assisted treatment for severe aortic regurgitation during the perioperative period of transcatheter aortic valve replacement]

Zhonghua Xin Xue Guan Bing Za Zhi. 2021 Feb 24;49(2):179-181. doi: 10.3760/cma.j.cn112148-20200309-00177.
[Article in Chinese]

Abstract

心原性休克是经导管主动脉瓣膜置换（TAVR）围术期严重急性并发症之一，体外膜肺氧合（ECMO）及左心辅助装置Impella等机械辅助装置为其重要救治手段。该文报道1例主动脉瓣重度关闭不全患者，在行经心尖途径TAVR过程中出现心跳骤停，立即予心肺复苏并及时置入人工瓣膜，患者循环未恢复，遂进行体外循环， ECMO辅助下返回病房，但患者心功能改善不明显，后置入Impella。患者逐渐好转，康复出院，术后1、3个月随访恢复良好。与ECMO相比，Impella可直接降低左心室的负荷，有助于瓣膜病合并循环障碍患者的心功能恢复。.

Publication types

  • Case Reports

MeSH terms

  • Aortic Valve / surgery
  • Aortic Valve Insufficiency* / surgery
  • Aortic Valve Stenosis* / surgery
  • Heart Valve Prosthesis*
  • Humans
  • Perioperative Period
  • Severity of Illness Index
  • Transcatheter Aortic Valve Replacement*
  • Treatment Outcome