Refractory Hypotension During Implantation of a 70 mL Total Artificial Heart in a Patient With Pectus Excavatum: A Case Report.

Autor:	Hart B; Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA., Mokadam NA; Department of Surgery, Division of Cardiothoracic Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA., Anam K; Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA., Saklayen S; Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA., Dimitrova G; Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA., Zuleta-Alarcon A; Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA., Holloway J; Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA., Awad H; Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA., Convissar D; Division of Cardiac Anesthesiology, Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital-Harvard Medical School, Boston, MA, USA., Essandoh M; Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Jazyk:	angličtina
Zdroj:	Seminars in cardiothoracic and vascular anesthesia [Semin Cardiothorac Vasc Anesth] 2023 Sep; Vol. 27 (3), pp. 239-243. Date of Electronic Publication: 2023 Feb 20.
DOI:	10.1177/10892532231157529
Abstrakt:	The Syncardia total artificial heart system is the only commercially approved durable device for treating biventricular heart failure patients awaiting heart transplantation. Conventionally, the Syncardia total artificial heart system is implanted based on the distance from the anterior aspect of the 10th thoracic vertebra to the sternum and the patient's body surface area. However, this criterion does not account for chest wall musculoskeletal deformities. This case report describes a patient with a pectus excavatum who developed compression of the inferior vena cava after Syncardia total artificial heart implantation and how transesophageal echocardiography guided chest wall surgery to accommodate the total artificial heart system. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Nahush A. Mokadam, MD, is a consultant for Syncardia.
Databáze:	MEDLINE
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