Right Ventricular Failure Following Acute Type A Aortic Dissection: An Alternative Strategy
Right Ventricular Failure Following Acute Type A Aortic Dissection: An Alternative Strategy作者机构：General Surgery Hereford County Hospital Hereford UK Cardiothoracic Surgery Liverpool Heart and Chest Hospital Liverpool UK Cardiac Surgery Wythenshawe Hospital Manchester UK
出 版 物：《World Journal of Cardiovascular Surgery》 (心血管外科国际期刊（英文）)
年 卷 期：2019年第9卷第3期
页 面：35-39页
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题：Right Ventricular Failure Assist Devices Acute Type A Aortic Dissection
摘 要：Coronary malperfusion is a complication of aortic dissection, and can lead to ventricular failure. We report 2 cases of right ventricular (RV) failure, following aortic dissection, successfully bridged to recovery using right ventricular assist devices (RVADs). The first was a 54 year-old man, who had difficulty weaning from bypass due to a stunned RV following aortic root replacement. The second was a 34 year-old woman, who after replacement of the ascending aorta, suffered episodes of ventricular fibrillation (VF), and RV failure. Both had an RVAD implanted, allowing eventual recovery. We recommend more widespread use of VADs in such cases.
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