vtioВестник трансплантологии и искусственных органовRussian Journal of Transplantology and Artificial Organs1995-1191Academician V.I.Shumakov National Medical Research Center of Transplantology and Artificial Organs", Ministry of Health of the Russian Federation10.15825/1995-1191-2023-3-64-67vtio-1622Research ArticleТрансплантация сердца и вспомогательное кровообращениеHeart Transplantation and Assisted CirculationКлинический случай длительной механической поддержки кровообращения у пациента с бивентрикулярной сердечной недостаточностью после ножевого ранения сердцаClinical case of long-term mechanical circulatory support in a patient with biventricular heart failure after cardiac stab woundСиротаД. А.SirotaD. A.

Новосибирск

Novosibirsk

d_sirota@meshalkin.ruЖульковМ. О.ZhulkovM. O.

Новосибирск

Novosibirsk

medicus-maligna@mail.ruМакаевА. Г.MakaevA. G.

Макаев Александр Геннадьевич,

630055, Новосибирск, ул. Речкуновская, д. 15

Alexander Makaev,

15, Rechkunovskaya str., Novosibirsk, 630055

makaev_a@meshalkin.ruХванД. С.KhvanD. S.

Новосибирск

Novosibirsk

d_hvan@meshalkin.ruДоронинД. В.DoroninD. V.

Новосибирск

Novosibirsk

d_doronin@meshalkin.ruАгаеваХ. А.AgaevaK. A.

Новосибирск

Novosibirsk

agaeva_k@meshalkin.ruФомичевА. В.FomichevA. V.

Новосибирск

Novosibirsk

a_fomichev@meshalkin.ruЧернявскийА. М.ChernyavskyA. M.

Новосибирск

Novosibirsk

amchern@mail.ruФГБУ «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Минздрава РоссииРоссияMeshalkin National Medical Research CenterRussian Federation2023050620232536467Copyright © Сирота Д.А., Жульков М.О., Макаев А.Г., Хван Д.С., Доронин Д.В., Агаева Х.А., Фомичев А.В., Чернявский А.М., 20232023Сирота Д.А., Жульков М.О., Макаев А.Г., Хван Д.С., Доронин Д.В., Агаева Х.А., Фомичев А.В., Чернявский А.М.Sirota D.A., Zhulkov M.O., Makaev A.G., Khvan D.S., Doronin D.V., Agaeva K.A., Fomichev A.V., Chernyavsky A.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.transpl.ru/vtio/article/view/1622

Травма сердца по-прежнему остается одним из самых сложных состояний в практике неотложной хирургии. Только 6% пациентов с проникающими ранениями сердца успевают доставить в операционную для хирургического лечения, при этом смертность по-прежнему остается крайне высокой. К сожалению, подобные экстренные вмешательства часто выполняются в учреждениях, не обладающих возможностью оказания полного спектра реконструктивных методик, что приводит к субоптимальной коррекции и высокому риску развития осложнений в послеоперационном периоде. В данной статье описан клинический случай успешного устранения множественного колотого ножевого ранения сердца с сочетанным повреждением передней нисходящей артерии с последующим развитием выраженной сердечной недостаточности, потребовавшей применения бивентрикулярной механической поддержки кровообращения.

Cardiac injury remains one of the most complex conditions in emergency surgery. Only 6% of patients with penetrating heart wounds manage to be delivered to the operating room for surgery, and the mortality rate is still extremely high. Unfortunately, such emergency interventions are often performed in institutions lacking the ability to provide the full range of reconstructive techniques, resulting in suboptimal correction and a high risk of developing postoperative complications. This paper describes a clinical case of successful repair of multiple stab wounds to the heart with concomitant anterior descending artery injury followed by severe heart failure requiring biventricular mechanical circulatory support.

ранения сердцаустройство механической поддержки кровообращениясердечная недостаточностьвспомогательное кровообращениебивентрикулярная поддержкаcardiac injurymechanical circulatory assist deviceheart failureassisted circulationbiventricular supportИсследование выполнено в рамках проекта № 23- 25-10013 (Соглашение№ 23-25-10013 от 20.04.2023 г. с РНФ, Соглашение № р-52 от 03.04.2023 г. с Министерством науки и инновационной политики НСО).ReferencesAsensio JA, Soto SN, Forno W, Roldan G, Petrone P, Salim A et al. Penetrating cardiac injuries: a complex challenge. Injury. 2001; 32 (7): 533–543. doi: 10.1016/s0020-1383(01)00068-7.Asensio JA, Soto SN, Forno W, Roldan G, Petrone P, Salim A et al. Penetrating cardiac injuries: a complex challenge. Injury. 2001; 32 (7): 533–543. doi: 10.1016/s0020-1383(01)00068-7.Carr JA, Buterakos R, Bowling WM, Janson L, Kralovich KA, Copeland C et al. Long-term functional and echocardiographic assessment after penetrating cardiac injury: 5-year follow-up results. J Trauma. 2011; 70 (3): 701–704. doi: 10.1097/TA.0b013e31820c405a.Carr JA, Buterakos R, Bowling WM, Janson L, Kralovich KA, Copeland C et al. Long-term functional and echocardiographic assessment after penetrating cardiac injury: 5-year follow-up results. J Trauma. 2011; 70 (3): 701–704. doi: 10.1097/TA.0b013e31820c405a.Kang N, Hsee L, Rizoli S, Alison P. Penetrating cardiac injury: overcoming the limits set by Nature. Injury. 2009; 40 (9): 919–927. doi: 10.1016/j.injury.2008.12.008.Kang N, Hsee L, Rizoli S, Alison P. Penetrating cardiac injury: overcoming the limits set by Nature. Injury. 2009; 40 (9): 919–927. doi: 10.1016/j.injury.2008.12.008.Campbell NC, Thomson SR, Muckart DJ, Meumann CM, Van Middelkoop I, Botha JB. Review of 1198 cases of penetrating cardiac trauma. Br J Surg. 1997; 84 (12): 1737–1740.Campbell NC, Thomson SR, Muckart DJ, Meumann CM, Van Middelkoop I, Botha JB. Review of 1198 cases of penetrating cardiac trauma. Br J Surg. 1997; 84 (12): 1737–1740.Tector AJ, Reuben CF, Hoffman JF, Gelfand ET, Keelan M, Worman L. Coronary artery wounds treated with saphenous vein bypass grafts. JAMA. 1973; 225 (3): 282–284.Tector AJ, Reuben CF, Hoffman JF, Gelfand ET, Keelan M, Worman L. Coronary artery wounds treated with saphenous vein bypass grafts. JAMA. 1973; 225 (3): 282–284.Lobay KW, MacGougan CK. Traumatic coronary artery dissection: a case report and literature review. J Emerg Med. 2012; 43 (4): e239–e243. doi: 10.1016/j.jemermed.2010.04.019.Lobay KW, MacGougan CK. Traumatic coronary artery dissection: a case report and literature review. J Emerg Med. 2012; 43 (4): e239–e243. doi: 10.1016/j.jemermed.2010.04.019.Reissman P, Rivkind A, Jurim O, Simon D. Case report: the management of penetrating cardiac trauma with major coronary artery injury – is cardiopulmonary bypass essential? J Trauma. 1992; 33 (5): 773–775. doi: 10.1097/00005373-199211000-00031.Reissman P, Rivkind A, Jurim O, Simon D. Case report: the management of penetrating cardiac trauma with major coronary artery injury – is cardiopulmonary bypass essential? J Trauma. 1992; 33 (5): 773–775. doi: 10.1097/00005373-199211000-00031.Isaza-Restrepo A, Bolívar-Sáenz DJ, Tarazona-Lara M, Tovar JR. Penetrating cardiac trauma: analysis of 240 cases from a hospital in Bogota, Colombia. World J Emerg Surg. 2017; 12: 26. doi: 10.1186/s13017-017-0138-1.Isaza-Restrepo A, Bolívar-Sáenz DJ, Tarazona-Lara M, Tovar JR. Penetrating cardiac trauma: analysis of 240 cases from a hospital in Bogota, Colombia. World J Emerg Surg. 2017; 12: 26. doi: 10.1186/s13017-017-0138-1.Kirklin JK, Naftel DC, Kirklin JW, Blackstone EH, White-Williams C, Bourge RC. Pulmonary vascular resistance and the risk of heart transplantation. J Heart Transplant. 1988; 7 (5): 331–336.Kirklin JK, Naftel DC, Kirklin JW, Blackstone EH, White-Williams C, Bourge RC. Pulmonary vascular resistance and the risk of heart transplantation. J Heart Transplant. 1988; 7 (5): 331–336.Erickson KW, Costanzo-Nordin MR, O’Sullivan EJ, Johnson MR, Zucker MJ, Pifarré R et al. Influence of preoperative transpulmonary gradient on late mortality after orthotopic heart transplantation. J Heart Transplant. 1990; 9 (5): 526–537.Erickson KW, Costanzo-Nordin MR, O’Sullivan EJ, Johnson MR, Zucker MJ, Pifarré R et al. Influence of preoperative transpulmonary gradient on late mortality after orthotopic heart transplantation. J Heart Transplant. 1990; 9 (5): 526–537.Mikus E, Stepanenko A, Krabatsch T, Loforte A, Dandel M, Lehmkuhl HB et al. Reversibility of fixed pulmonary hypertension in left ventricular assist device support recipients. Eur J Cardiothorac Surg. 2011; 40 (4): 971–977. doi: 10.1016/j.ejcts.2011.01.019.Mikus E, Stepanenko A, Krabatsch T, Loforte A, Dandel M, Lehmkuhl HB et al. Reversibility of fixed pulmonary hypertension in left ventricular assist device support recipients. Eur J Cardiothorac Surg. 2011; 40 (4): 971–977. doi: 10.1016/j.ejcts.2011.01.019.Mehra MR, Canter CE, Hannan MM, Semigran MJ, Uber PA, Baran DA et al. The 2016 International Society for Heart Lung Transplantation listing criteria for heart transplantation: A 10-year update. J Heart Lung Transplant. 2016; 35 (1): 1–23. doi: 10.1016/j.healun.2015.10.023.Mehra MR, Canter CE, Hannan MM, Semigran MJ, Uber PA, Baran DA et al. The 2016 International Society for Heart Lung Transplantation listing criteria for heart transplantation: A 10-year update. J Heart Lung Transplant. 2016; 35 (1): 1–23. doi: 10.1016/j.healun.2015.10.023.Khvan DS, Chernyavsky AM, Efendiev VU, Sirota DA, Doronin DV, Fomichev AV et al. A case of the «Berlin Heart EXCOR» biventricular assist device implantation as a bridge to heart transplantation for a patient with dilated cardiomyopathy and Terminal Heart Failure. Russian Journal of Transplantology and Artificial Organs. 2018; 20 (2): 69–73.Khvan DS, Chernyavsky AM, Efendiev VU, Sirota DA, Doronin DV, Fomichev AV et al. A case of the «Berlin Heart EXCOR» biventricular assist device implantation as a bridge to heart transplantation for a patient with dilated cardiomyopathy and Terminal Heart Failure. Russian Journal of Transplantology and Artificial Organs. 2018; 20 (2): 69–73.Fomichev AV, Khvan DS, Agaeva HA, Zhulkov MO, Doronin DV, Chernyavsky AM. Experience of heart transplantation with an extended cold ischemic time of Donor Heart. Russian Journal of Cardiology. 2020; 25 (8): 4011.Fomichev AV, Khvan DS, Agaeva HA, Zhulkov MO, Doronin DV, Chernyavsky AM. Experience of heart transplantation with an extended cold ischemic time of Donor Heart. Russian Journal of Cardiology. 2020; 25 (8): 4011.Adamson RM, Dembitsky WP, Jaski BE, Daily PO, Moreno R, Kim JC et al. Left ventricular assist device support of medically unresponsive pulmonary hypertension and aortic insufficiency. ASAIO J. 1997; 43 (4): 365–369.Adamson RM, Dembitsky WP, Jaski BE, Daily PO, Moreno R, Kim JC et al. Left ventricular assist device support of medically unresponsive pulmonary hypertension and aortic insufficiency. ASAIO J. 1997; 43 (4): 365–369.Haddad H, Elabbassi W, Moustafa S, Davies R, Mesana T, Hendry P et al. Left ventricular assist devices as bridge to heart transplantation in congestive heart failure with pulmonary hypertension. ASAIO J. 2005; 51 (4): 456–460. doi: 10.1097/01.mat.0000169125.21268.d7.Haddad H, Elabbassi W, Moustafa S, Davies R, Mesana T, Hendry P et al. Left ventricular assist devices as bridge to heart transplantation in congestive heart failure with pulmonary hypertension. ASAIO J. 2005; 51 (4): 456–460. doi: 10.1097/01.mat.0000169125.21268.d7.Martin J, Siegenthaler MP, Friesewinkel O, Fader T, van de Loo A, Trummer G et al. Implantable left ventricular assist device for treatment of pulmonary hypertension in candidates for orthotopic heart transplantation – a preliminary study. Eur J Cardiothorac Surg. 2004; 25 (6): 971–977. doi: 10.1016/j.ejcts.2004.01.052.Martin J, Siegenthaler MP, Friesewinkel O, Fader T, van de Loo A, Trummer G et al. Implantable left ventricular assist device for treatment of pulmonary hypertension in candidates for orthotopic heart transplantation – a preliminary study. Eur J Cardiothorac Surg. 2004; 25 (6): 971–977. doi: 10.1016/j.ejcts.2004.01.052.Moayedifar R, Zuckermann A, Aliabadi-Zuckermann A, Riebandt J, Angleitner P, Dimitrov K et al. Long-term heart transplant outcomes after lowering fixed pulmonary hypertension using left ventricular assist devices. Eur J Cardiothorac Surg. 2018 1; 54 (6): 1116–1121. doi: 10.1093/ejcts/ezy214.Moayedifar R, Zuckermann A, Aliabadi-Zuckermann A, Riebandt J, Angleitner P, Dimitrov K et al. Long-term heart transplant outcomes after lowering fixed pulmonary hypertension using left ventricular assist devices. Eur J Cardiothorac Surg. 2018 1; 54 (6): 1116–1121. doi: 10.1093/ejcts/ezy214.Lund LH, Edwards LB, Kucheryavaya AY, Benden C, Christie JD, Dipchand AI et al. The registry of the International Society for Heart and Lung Transplantation: thirty-first official adult heart transplant report – 2014; focus theme: retransplantation. J Heart Lung Transplant. 2014; 33 (10): 996–1008. doi: 10.1016/j.healun.2014.08.003.Lund LH, Edwards LB, Kucheryavaya AY, Benden C, Christie JD, Dipchand AI et al. The registry of the International Society for Heart and Lung Transplantation: thirty-first official adult heart transplant report – 2014; focus theme: retransplantation. J Heart Lung Transplant. 2014; 33 (10): 996–1008. doi: 10.1016/j.healun.2014.08.003.

The authors declare that there are no conflicts of interest present.