Non-occlusive mesenteric ischemia in a patient with left ventricular assist device implantation
作者: Takaaki SamuraKoichi TodaDaisuke YoshiokaHidekazu TakahashiShigeru MiyagawaYasushi YoshikawaShunsuke SaitoKeitaro DomaeYoshiki Sawa
作者单位: 1Osaka University Graduate School of Medicine
刊名: Journal of Artificial Organs, 2017, Vol.20 (3), pp.277-279
来源数据库: Springer Nature Journal
DOI: 10.1007/s10047-017-0964-7
关键词: Non-occlusive mesenteric ischemiaLeft ventricular assist deviceRight ventricular assist deviceIleostomy
英文摘要: Non-occlusive mesenteric ischemia (NOMI) is a devastating complication after cardiac surgery. Once patients develop NOMI, intra-mesenteric infusion of vasodilators and/or emergent laparotomy is usually required, but the mortality is extraordinarily high even with intensive treatment. We present a case of salvage of a patient with NOMI complicated with severe right ventricular dysfunction after left ventricular assist device (LVAD) implantation using maximum treatment with emergent laparotomy and temporary right ventricular assist device implantation. To the best of our knowledge, this is the first successful salvage case of NOMI in a LVAD patient. We believe that hemodynamic optimization using maximum treatment is critically important to achieve salvage.
原始语种摘要: Non-occlusive mesenteric ischemia (NOMI) is a devastating complication after cardiac surgery. Once patients develop NOMI, intra-mesenteric infusion of vasodilators and/or emergent laparotomy is usually required, but the mortality is extraordinarily high even with intensive treatment. We present a case of salvage of a patient with NOMI complicated with severe right ventricular dysfunction after left ventricular assist device (LVAD) implantation using maximum treatment with emergent laparotomy and temporary right ventricular assist device implantation. To the best of our knowledge, this is the first successful salvage case of NOMI in a LVAD patient. We believe that hemodynamic optimization using maximum treatment is critically important to achieve salvage.
全文获取路径: Springer Nature  (合作)
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来源刊物:
影响因子:1.414 (2012)

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关键词翻译
关键词翻译
  • occlusive 闭合的
  • mesenteric 肠系膜的
  • ischemia 局部贫血
  • ventricular 室的
  • device 装置
  • assist 协助
  • emergent 紧急的
  • salvage 废弃物
  • implantation 离子注入
  • treatment 处理