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在严重的大动脉动脉样硬化中,左心室辅助器件植入与全心管置换相结合

June Lee¹, Seok Beom Hong¹, Yong Han Kim¹

¹Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Journal of thoracic disease

|August 10, 2023

概括

左心室辅助装置 (LVAD) 植入与大动脉置换相结合,成功治疗了患者的严重心力衰竭和大动脉动脉样硬化,减轻了中风风险. 这种综合方法为部分患者提供了可行的选择.

科学领域:

心血管外科心血管外科
医疗器械医疗器械
心脏衰竭管理的管理

背景情况:

左心室辅助装置 (LVAD) 植入是严重心力衰竭的关键治疗方法.
脑卒中是LVAD手术后的一种已知的并发症.
在严重的大动脉动脉样硬化中,将LVAD植入与大动脉手术相结合的安全性和有效性在很大程度上仍未被探索.

研究的目的:

在患有严重大动脉动脉样硬化症的患者中,描述一种新的手术技术,将LVAD植入与 hemiarch 置换相结合.
评估这种综合方法在减少外科手术后中风风险方面的可行性和安全性.

主要方法:

一名72岁的患有晚期心力衰竭的男性患者接受了HeartMate 3 LVAD植入.
严重的上升性大动脉动脉样硬化需要使用心肺旁路,中度低温和双边前级大脑输液来替换血管.
进行了外流移植解剖,以人工上升大动脉移植进行后置换.

主要成果:

结合LVAD植入和hemiarch替换的程序已经成功完成.
患者没有经历术后并发症,包括神经系统缺陷.
这种技术有效地管理了严重的心力衰竭和严重的大动脉动脉样硬化.

结论:

与大动脉置换相结合的LVAD植入对于精心挑选的患者来说是一个潜在的可行的策略.
这种方法可以减轻患有严重大动脉动脉样硬化症的患者进行LVAD植入术前中风的风险.
需要进一步的研究来验证这种联合手术方法在更广泛的患者群体中是否有效.

关键词:

腹腔室辅助器件是一种器件.大动脉动脉样硬化症大动脉外科手术

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