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A successful team treatment for left main shock syndrome 被引量:2
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作者 Bin Que Yu-Tong Cheng +4 位作者 Hai Gao xiao-tong hou Ran Dong Nan Li Shao-Ping Nie 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2013年第3期302-304,共3页
Acute myocardial infarction complicated by cardiogenic shock and left main coronary artery disease is called left main shock syndrome. It is reported that the morbility and mortality of the syndrome is approximately 0... Acute myocardial infarction complicated by cardiogenic shock and left main coronary artery disease is called left main shock syndrome. It is reported that the morbility and mortality of the syndrome is approximately 0.46%and 55%-80%, respectively. However, the best treat-ment strategy in these cases is unknown. In this article, we present a patient with LMSS who successively underwent emergency percutane-ous coronary intervention and coronary artery bypass grafting with hemodynamic support within 5 days. The patient is now on his three month uneventful out-patient follow-up. 展开更多
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Extracorporeal membrane oxygenation in curing a young man after modified Fontan operation:A case report
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作者 He-Bing Guo Jian-Bo Tan +11 位作者 Yong-Chao Cui Hao-Feng Xiong Chuan-Sheng Li Yu-Feng Liu Yao Sun Lin Pu Pan Xiang Ming Zhang Jing-Jing Hao Ning-Ning Yin xiao-tong hou Jing-Yuan Liu 《World Journal of Clinical Cases》 SCIE 2022年第29期10614-10621,共8页
BACKGROUND The Fontan operation is the only treatment option to change the anatomy of the heart and help improve patients’ hemodynamics.After successful operation,patients typically recover the ability to engage in g... BACKGROUND The Fontan operation is the only treatment option to change the anatomy of the heart and help improve patients’ hemodynamics.After successful operation,patients typically recover the ability to engage in general physical activity.As a better ventilatory strategy,extracorporeal membrane oxygenation(ECMO) provides gas exchange via an extracorporeal circuit,and is increasingly being used to improve respiratory and circulatory function.After the modified Fontan operation,circulation is different from that of patients who are not subjected to the procedure.This paper describe a successful case using ECMO in curing influenza A infection in a young man,who was diagnosed with Tausing-Bing syndrome and underwent Fontan operation 13 years ago.The special cardiac structure and circulatory characteristics are explored in this case.CASE SUMMARY We report a successful case using ECMO in curing influenza A infection in a 23-year-old man,who was diagnosed with Tausing-Bing syndrome and underwent Fontan operation 13 years ago.The man was admitted to the intensive care unit with severe acute respiratory distress syndrome as a result of influenza A infection.He was initially treated by veno-venous(VV) ECMO,which was switched to veno-venous-arterial ECMO(VVA ECMO) 5 d later.As circulation and respiratory function gradually improved,the VVA ECMO equipment was removed on May 1,2018.The patient was successfully withdrawn from artificial ventilation on May 28,2018 and then discharged from hospital on May 30,2018.CONCLUSION After the modified Fontan operation,circulation is different compared with that of patients who are not subjected to the procedure.There are certainly many differences between them when they receive the treatment of ECMO.Due to the special cardiac structure and circulatory characteristics,an individualized liquid management strategy is necessary and it might be better for them to choose an active circulation support earlier. 展开更多
关键词 Acute respiratory distress syndrome Extracorporeal membrane oxygenation Modified Fontan operation Tausing-Bing syndrome Case report
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