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Hypoxemia in a patient with biventricular HeartWare ? ventricular assist devices

机译:双心室HeartWare患者的低氧血症?心室辅助装置

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We present the case of a 59-year-old Caucasian man with a nonischemic cardiomyopathy who underwent implantation of HeartWare? (HeartWare Inc., Framingham, MA) ventricular assist devices (HVAD) for biventricular support due to refractory cardiogenic shock after attempted ventricular tachycardia ablation. After implantation of biventricular HVADs, he developed hypoxemia that failed to correct with administration of supplemental oxygen. A patent foramen ovale (PFO) was discovered on postoperative transesophageal echocardiogram (TEE). Speed adjustment of both the right and left HVADs under TEE guidance allowed for spontaneous closure of the PFO and resolution of the hypoxemia.
机译:我们介绍了一个患有非缺血性心肌病的59岁白人,该人接受了HeartWare植入吗? (HeartWare Inc.,Framingham,MA)心室辅助设备(HVAD),由于尝试性心动过速消融后难治性心源性休克而导致双心室支持。植入双心室HVAD后,他发生了低氧血症,但不能通过补充氧气来纠正。术后经食管超声心动图(TEE)发现卵圆孔未闭(PFO)。在TEE指导下调节右和左HVAD的速度可以自发关闭PFO和解决低氧血症。

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