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首页> 外文期刊>European Heart Journal - Case Reports >Pseudoaneurysm rupture presenting as bleeding from the cannulation site in a paediatric patient with dilated cardiomyopathy and congenital skin lesions requiring EXCOR? Paediatric ventricular assist device: a case report
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Pseudoaneurysm rupture presenting as bleeding from the cannulation site in a paediatric patient with dilated cardiomyopathy and congenital skin lesions requiring EXCOR? Paediatric ventricular assist device: a case report

机译：伪肿瘤破裂呈现出从细胞患者的插管部位出血，患有扩张的心肌病和先天性皮肤病变需要响应？小儿心室辅助装置：案例报告

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Background EXCOR? Paediatric is used worldwide as a bridge-to-transplant treatment. It provides improved patient stability during the waiting period compared with previous ventricular assist device (VAD). However, investigations into complications which may occur among the paediatric population during long waiting periods are still sparse. Case summary We describe the case of a 7-year-old girl who presented with severe heart failure due to dilated cardiomyopathy. She also had a skin lesion which appeared soon after birth. She had received an EXCOR? implant and was waiting for heart transplant. Her skin lesion worsened after implantation and she suffered recurrent infections. Multiple bleeding episodes from the cannulation site occurred; therefore, surgical exploration of the bleeding was performed. She passed away during the procedure due to massive bleeding caused by rupture of a pseudoaneurysm caused by blood-stream infection. Discussion Patients with skin disease may be at increased risk of infection when on a VAD. Infections that occur during VAD therapy may cause serious complications such as pseudoaneurysm. The possibility of pseudoaneurysm should be considered when bleeding occurs in a patient on VAD.
机译：背景魔法？儿科在全球范围内用于桥接到移植治疗。与前一个心室辅助装置（VAD）相比，它在等待期间提供了改善的患者稳定性。然而，调查在长寿期间可能发生的儿科人口中可能发生的并发症仍然稀疏。案例摘要我们描述了一个7岁女孩的案例，由于扩张的心肌病，呈现严重的心力衰竭。她还有一个皮肤病，出生后很快就会出现。她收到了一个荣誉？植入并正在等待心脏移植。植入后，她的皮肤病变恶化，她遭受了反复感染。来自插管部位的多个出血集;因此，进行了出血的手术探索。由于血流血流感染引起的伪肿瘤破裂引起的型畸形引起，她在手术期间消失了。讨论皮肤病的患者可能在VAD上的感染风险增加。在VAD疗法期间发生的感染可能导致严重的并发症如假肿瘤。在VAD上的患者发生出血时，应考虑伪肿瘤的可能性。

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