Ekstrakorporeal yaşam desteğinde rastlantısal kardiyak perforasyon sonrası hemodinamik stabilite

Altmış yaşında erkek hasta, kardiyak arrest nedeniyle acil servise getirildi. Akut miyokard enfarktüsü ve hemoperikardiyum izlenen hastaya perkütan femoral kanülasyon ile ekstrakorporeal yaşam desteği uygulandı. Hastanın kalp fonksiyonları iyileşti ve hemodinamik açıdan stabilize oldu. Enfarktüs sonrası sol ventrikül rüptürü tespit edilen hastada venöz kanülün perikardiyotomi sonrasında sağ ventriküle doğru çıkıntı yaptığı izlendi. Her iki ventrikül onarıldı ve sol ön inen artere baypas uygulandı. Hasta herhangi bir komplikasyon olmaksızın taburcu edildi.

Hemodynamic stability following incidental cardiac perforation on extracorporeal life support

A60-year-old male patient arrived at emergency department due to cardiac arrest. As the patient had acute myocardial infarction and hemopericardium, we performed extracorporeal life support by percutaneous femoral cannulation. His cardiac function was recovered and stabilized hemodynamically. Soon after identifying post-infarction left ventricle rupture, we found that the venous cannula was protruded out right ventricle after pericardiotomy. We repaired the both ventricles and left anterior descending artery was bypassed. The patient was discharged without complication.

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