相关实验视频
Updated: Jul 31, 2026
16:11
Implantation of the Syncardia Total Artificial Heart
Published on: July 18, 2014
总额外心脏右心脏绕行术
S Giannico1, A Corno, B Marino
1Department of Pediatric Cardiology and Cardiac Surgery, Ospedale Bambino Gesù, Rome, Italy.
Circulation
|November 1, 1992
概括
这项关于Fontan外心整体手术的研究显示出有希望的血液动力学结果和技术优势. 早期的结果表明,单心室修复后,晚期心房律乱的潜在减少.
科学领域:
- 生产性心脏手术 手术 生产心脏手术
- 儿童心脏病学 儿童心脏病学
- 心血管血动力学心血管血动力学
背景情况:
- 全腔肺连接为复杂的Fontan手术提供了心房肺连接的合理替代方案.
- 额外心脏Fontan程序可以减轻单心室修复后晚期心房律乱.
- 这项研究研究了在接受全心外右心旁路术的患者中的血液动力学发现.
研究的目的:
- 为了记录手术后血液动力学发现,复杂先天性心脏病的患者经历了完全心脏外右心脏旁路.
- 为了评估下 vena cava-to-pulmonary动脉心脏外达克隆管道的疗效,使用修改的格伦解剖.
- 评估早期结果,包括血液动力学参数和心律失常.
主要方法:
- 28名患有复杂先天性心脏病的患者接受了整体心脏外右心脏旁路术,并进行了修改的格伦位.
- 手术后的血液动力学评估包括22名幸存者的心脏导管和回声多普勒研究.
- 随访时间平均为13.9个月.
主要成果:
- 在22名被评估的患者中,18名血液动力学数据是令人满意的,观察到两个肺部的偏好的马流.
- "回声多普勒"显示了前腔肺流作为主要的早期透气事件,这表明透气心室功能的作用.
- 两名幸存者经历了早期的术后心房律不整.
结论:
- 整体心脏外右心脏绕道显示了令人鼓舞的技术优势和血液动力学益处.
- 幸存者没有观察到血栓栓塞并发症或管道阻塞,尽管大量使用人工材料.
- 需要进行更长的随访,以确认早期结果,特别是晚期心房律乱的潜在减少.
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