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개심술 후 발생한 우심실부전 환자에서 대동맥내 풍선펌프를 이용한 치료경험

Other Titles
 Use of Intraaortic Balloon Pump in a Patient with Right Ventricular Failure after Cardiac Surgery 
Authors
 최승호  ;  나성원  ;  오영준  ;  심재광  ;  정형준  ;  곽영란 
Citation
 KOREAN JOURNAL OF ANESTHESIOLOGY, Vol.50(5) : 596-599, 2006 
Journal Title
KOREAN JOURNAL OF ANESTHESIOLOGY(대한마취과학회지)
ISSN
 2005-6419 
Issue Date
2006
Keywords
cardiac surgery ; intraaortic balloon pump ; right ventricular failure
Abstract
The intraaortic balloon pump (IABP) is the most effective and widely used device for temporary mechanical assistance of left heart. Considering left and right ventricular (RV) interdependence, IABP may also alleviate predominantly RV dysfunction following cardiac surgery. This is the case of a 61-year-old female patient who had experienced RV failure after cardiac surgery. After tricuspid valve replacement, preexisting RV failure was progressively aggravated and systemic blood pressure could not be maintained in spite of aggressive pharmacological support on second postoperative day. Thus, mechanical support with IABP was considered to increase coronary perfusion pressure in this case. IABP dramatically improved hemodynamics and cardiac function. It was removed on fifth postoperative day and she has remained well. In conclusion, IABP could play a role in RV failure following cardiac surgery and timely treatment of the heart failure with mechanical circulatory assistance would prevent further complications.
Files in This Item:
T200600867.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kwak, Young Lan(곽영란) ORCID logo https://orcid.org/0000-0002-2984-9927
Na, Sungwon(나성원) ORCID logo https://orcid.org/0000-0002-1170-8042
Shim, Jae Kwang(심재광) ORCID logo https://orcid.org/0000-0001-9093-9692
Oh, Young Jun(오영준) ORCID logo https://orcid.org/0000-0002-6258-5695
Choi, Seung Ho(최승호) ORCID logo https://orcid.org/0000-0001-8442-4406
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/109808
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