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| ファイル | 記述 | サイズ | フォーマット | |
|---|---|---|---|---|
| s40981-021-00444-w.pdf | 1.04 MB | Adobe PDF | 見る/開く |
| タイトル: | A case of left ventricular free wall rupture after insertion of an IMPELLA® left ventricular assist device diagnosed by transesophageal echocardiography |
| 著者: | Mizuno, Akito Kawamoto, Shuji    https://orcid.org/0000-0003-3172-0855 (unconfirmed)Uda, Shuji Tatsumi, Kenichiro https://orcid.org/0009-0004-1293-8845 (unconfirmed)Takeda, Chikashi Tanaka, Tomoharu Fukuda, Kazuhiko |
| 著者名の別形: | 水野, 彰人 川本, 修司 宇田, 周司 辰巳, 健一郎 武田, 親宗 田中, 具治 福田, 和彦 |
| キーワード: | IMPELLA® Left ventricular mechanical support Myocardial infarction Left ventricular perforation Transesophageal echocardiography Cardiac tamponade |
| 発行日: | 26-Apr-2021 |
| 出版者: | Springer Nature |
| 誌名: | JA Clinical Reports |
| 巻: | 7 |
| 論文番号: | 38 |
| 抄録: | [Background]The IMPELLA® is a minimally invasive left ventricular assist device. We report a case in which transesophageal echocardiography (TEE) was useful in diagnosis of left ventricular rupture after IMPELLA® insertion. [Case presentation]A 75-year-old man presented to the emergency room with chest pain and underwent percutaneous coronary intervention for 100% stenosis of the left anterior descending branch #7. An IMPELLA® was inserted to stabilize the circulation, but hypotension persisted. Transthoracic echocardiography revealed increased pericardial effusion and suspicion of free wall left ventricular rupture, leading to emergency surgery. TEE revealed the IMPELLA® straying into the left ventricle apical wall and cardiac tamponade. Hemorrhage was observed from the thinning free wall and the tip of the IMPELLA® was palpable. The IMPELLA® was removed and the left ventricular wall was repaired. [Conclusions]The IMPELLA® requires implantation of the tip in the left ventricle, but it should be noted that a fragile ventricular wall can be easily perforated. |
| 著作権等: | © The Author(s). 2021 This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. |
| URI: | http://hdl.handle.net/2433/263334 |
| DOI(出版社版): | 10.1186/s40981-021-00444-w |
| PubMed ID: | 33900489 |
| 出現コレクション: | 学術雑誌掲載論文等 |
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