Prophylactic percutaneous left ventricular assist device in pregnancy

Jill M Westcott; Yasaman Yaghoubian; Mathew R Williams; Ashley S Roman; Francine Hughes; Mara Rosner

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Prophylactic percutaneous left ventricular assist device in pregnancy

机译：预防性经皮左心室辅助装置在怀孕中

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Pregnancy-associated cardiomyopathy can present earlier in gestation than traditionally defined peripartum cardiomyopathy. Management and optimal delivery timing for these patients are not well defined. We present the case of a 30-year-old primigravid at 26 weeks who presented with new onset ventricular tachycardia, biventricular cardiac failure, and severe mitral regurgitation. She was medically stabilized for two weeks prior to delivery with modest improvement in her condition. Due to concern for life-threatening cardiac failure and pulmonary edema at the time of delivery, a percutaneous left ventricular assist device was inserted immediately prior to cesarean delivery. She remained on mechanical circulatory support for 36 h. We discuss considerations regarding use of a percutaneous left ventricular assist device as a novel therapy to support the hemodynamic changes following delivery in parturients with decompensated heart failure.

机译：妊娠相关的心肌病可以在妊娠之前呈现比传统定义的腹部心肌病变。这些患者的管理和最佳交付时间没有明确定义。我们在26周介绍了30岁的血脂，患有新的爆发性心脏心动过速，前心病衰竭和严重二尖瓣反流性的26周。在交付之前，她在医学上稳定了两周，以适度的改善她的病情。由于对递送时危及生命的心力衰竭和肺水肿的关注，在循环递送之前立即插入经皮左心室辅助装置。她仍然持有36小时的机械循环支持。我们讨论了关于使用经皮左心室辅助装置作为一种新疗法以支持血流动力学变化，以在具有失代偿的心力衰竭后递送血液动力学变化。

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来源
《Obstetric medicine》 |2019年第3期|共2页
作者
Jill M Westcott; Yasaman Yaghoubian; Mathew R Williams; Ashley S Roman; Francine Hughes; Mara Rosner;
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作者单位

Division of Maternal-Fetal Medicine Department of Obstetrics and Gynecology NYU Langone Health;

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原文格式 PDF
正文语种 eng
中图分类妇产科学;
关键词
Cardiomyopathy; ventricular assist device;

机译：心肌病;室心辅助装置;

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专利

1. Prophylactic percutaneous left ventricular assist device in pregnancy [J] . Jill M Westcott, Yasaman Yaghoubian, Mathew R Williams, Obstetric medicine . 2019,第3期

机译：预防性经皮左心室辅助装置在怀孕中
2. Use of the percutaneous left ventricular assist device in patients with severe refractory cardiogenic shock as a bridge to long-term left ventricular assist device implantation. [J] . Idelchik GM, Simpson L, Civitello AB, The Journal of heart and lung transplantation: the official publication of the International Society for Heart Transplantation . 2008,第1期

机译：在患有严重难治性心源性休克的患者中使用经皮左心室辅助设备，作为长期植入左心室辅助设备的桥梁。
3. Prevention of percutaneous driveline infection after left ventricular assist device implantation: Prophylactic antibiotics are not necessary [J] . StulakJ.M., MaltaisS., CowgerJ., ASAIO journal . 2013,第6期

机译：预防植入左心室辅助设备后经皮动力传动系统感染：不需要预防性抗生素
4. Percutaneous Wireless Powering System for a Left Ventricular Assist Device (LVAD) with an Internal Backup Battery [C] . T. Campi, S. Cruciani, F. Maradei, IEEE Wireless Power Transfer Conference . 2019

机译：具有内部备用电池的左心室辅助设备（LVAD）的经皮无线电力系统
5. Molecular Mechanisms of Angiodysplasia and Non-surgical Bleeding in Human Patients with Continuous-Flow Left Ventricular Assist Devices [D] . Tabit, Corey Emil. 2018

机译：连续流左心室辅助装置的人类患者血管发育异常和非手术性出血的分子机制
6. Prophylactic percutaneous left ventricular assist device in pregnancy [O] . Jill M Westcott, Yasaman Yaghoubian, Mathew R Williams, 2019

机译：预防经皮左心室辅助装置在怀孕中
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Prophylactic percutaneous left ventricular assist device in pregnancy

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