Left ventricular unloading via minimally invasive right parasternal thoracotomy during ECMO in a patient with myocardial stunning after cardiac surgery
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摘要: 1病例资料患者,女,66岁,因活动后胸闷、气促伴偶发胸痛10余年入院。否认高血压、糖尿病史。入院体检:体重55kg,身高162cm,脉搏122次/min,血压128/77mmHg（1 mmHg=0.133kPa）。心律不齐,第1心音强弱不等,心前区可闻及Ⅲ/6级收缩期杂音及舒张期隆隆样杂音,肺动脉第2音增强。辅助检查:心脏超声示风湿性心脏瓣膜病,二尖瓣漏斗型狭窄（中-重度）并关闭不全（中度）,三尖瓣反流（轻度）,左心增大（左房增大为主）,Abstract: Cardiac arrest and cardiogenic shock occurred in a patient with rheumatic valvular heart disease after mitral valve replacement. Cardiac function was recovered and discharged, after extracorporeal membrane pulmonary oxygenation(ECMO) combined with left cardiac decompression via right small sternotomy and continuous hemofiltration(CRRT).
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