| Myocardial failure caused by traumatic dissection of left coronary system--ventricular recovery with temporary circulatory support. | |
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MedLine Citation:
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PMID: 17488429 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report a case of a patient suffering from massive myocardial infarction after traumatic dissection of the left coronary system. The dissection involved the left coronary artery including peripheral segments of the coronary circulation. The patient was revascularized; however, she could not be weaned from cardiopulmonary bypass thereafter. An Impella microaxial hemopump was implanted and the patient's left ventricular function markedly improved during the following days. Eight days later hemodynamics had stabilized far enough to explant the device, after explantation the patient remained hemodynamically stable and free of inotropic support. The report intends to emphasize the potential of the myocardium to recover even after extensive infarction under temporary ventricular support and takes the Impella microaxial hemopump into consideration as a device that is technically easy to implant with no injury to the ventricle and thus associated with good properties for weaning. Surgeons should consider the device as short-term support in borderline indications. |
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Authors:
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Alexander Lauten; Justus T Strauch; Jan Groetzner; Thorsten Wahlers |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of cardiac surgery Volume: 22 ISSN: 0886-0440 ISO Abbreviation: J Card Surg Publication Date: 2007 May-Jun |
Date Detail:
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Created Date: 2007-05-09 Completed Date: 2007-07-10 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8908809 Medline TA: J Card Surg Country: United States |
Other Details:
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Languages: eng Pagination: 238-9 Citation Subset: IM |
Affiliation:
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Department of Cardiothoracic and Vascular Surgery, Friedrich Schiller University Jena, Jena, Germany. alexlauten@gmx.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aneurysm, Dissecting / etiology, surgery* Cardiopulmonary Bypass Coronary Aneurysm / etiology, surgery* Coronary Angiography / adverse effects* Coronary Artery Bypass* Female Heart Failure / etiology Heart-Assist Devices* Humans Myocardial Infarction / etiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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