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증례보고 : 개심술 후 발생한 우심실부전 환자에서 대동맥 내 풍선펌프를 이용한 치료경험 -증례보고-
최승호 ( Seung Ho Choi ),나성원 ( Sung Won Na ),오영준 ( Young Joon Oh ),심재광 ( Jae Kwang Shim ),정형준 ( Hyeong Jun Jeong ),곽영란 ( Young Lan Kwak ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.50 No.5
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. (Korean J Anesthesiol 2006; 50: 596~9)