Veno-Venous Extracorporeal Lung Assist with Concurrent Distal Aortic Perfusion: Repair of Ruptured Aorta in a Patient with Dense ARDS
Veno-Venous Extracorporeal Lung Assist with Concurrent Distal Aortic Perfusion: Repair of Ruptured Aorta in a Patient with Dense ARDS
复制标题
静脉-静脉体外肺辅助同时远端主动脉灌注：修复致密 ARDS 患者的主动脉破裂
DOI：
10.1177/039139889802100603
复制
发表时间：
1998
期刊：
影响因子：
--
通讯作者：
N. Habashi
中科院分区：
文献类型：
--
作者：
U. Borg;H. N. Reynolds;N. Habashi
体外肺辅助(ECLA)允许对严重呼吸衰竭的患者进行胸主动脉破裂的外科修复。在地区创伤中心住院15天期间，他患上了密集急性呼吸窘迫综合征(ARDS)。在转移到I级设施后，诊断出另一种损伤：外伤性主动脉破裂，包含在假性动脉瘤中。术前即刻经静脉-静脉途径行ECLA，在主动脉修复术中行主动脉远端灌注。尽管左肺有排气，病人在手术过程中仍得到了充分的氧合和通风。阻断时间为48分钟。术后第5天，患者脱离ECLA。据我们所知，这是首例同时行静脉-静脉肺支持和主动脉远端灌注的报告。
Extracorporeal lung assist (ECLA) allowed surgical repair of a ruptured descending thoracic aorta to be performed in a patient with profound respiratory failure. Dense acute respiratory distress syndrome (ARDS) developed during his 15-day hospitalization at a regional trauma center. After transfer to a Level I facility, an additional injury was diagnosed: traumatic rupture of the aorta, contained within a pseudoaneurysm. ECLA by the veno-venous route was required immediately preoperatively and distal aortic perfusion was performed during the aortic repair. Despite deflation of the left lung, the patient was oxygenated and ventilated adequately during surgery. Cross-clamp time was 48 minutes. The patient was weaned from ECLA by the fifth postoperative day. To our knowledge, this is the first report of concurrent veno-venous pulmonary support with distal aortic perfusion.