[Resuscitation using percutaneous cardiopulmonary support and beating heart surgery with balloon technique for a patient with penetrating cardiac injury].
We used percutaneous cardiopulmonary support (PCPS) and beating heart hemostasis with a balloon technique to resuscitate an 80-year-old woman who had been stabbed in the chest with pruning shears. She developed pulseless tamponade while waiting for surgery. Resuscitative thoracotomy was impossible in the emergency room due to the lack of appropriate equipment. We therefore decided to immediately resuscitate her using PCPS. Life-support circulation was established within 13 minutes and provided a stable period before surgery. The stab wound in the right ventricle was temporarily controlled with a urinary balloon catheter placed through the defect, and was repaired on the heart continued to beat She recovered from the fatal event without neurological impairment. PCPS is generally contraindicated for traumatic cases because of bleeding complications. However, it plays an important role as a life-saving procedure when emergency room thoracotomy is impossible.
Aoki
K
K
Department of Cardiovascular Surgery, Niigata Prefectural Shibata Hospital, Shibata, Japan.
Watanabe
M
M
Ohzeki
H
H
D000369:Aged, 80 and over; D021721:Balloon Occlusion; D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D002404:Catheterization; D005260:Female; D006335:Heart Injuries / Q000601:surgery*; D006801:Humans; D014546:Urinary Catheterization / Q000295:instrumentation; D014950:Wounds, Penetrating / Q000601:surgery*