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对于Fontan衰竭的正管心脏移植:经验和治疗策略-一个病例报告
Sakura Horie1, Fumiaki Shikata2, Yasutaka Hirata3
1Department of Cardiovascular Surgery, The University of Tokyo Hospital, 7-3-1 Hongo, Tokyo, Bunkyo-Ku, 113-8655, Japan.
General thoracic and cardiovascular surgery cases
|January 8, 2026
概括
本案例研究详细介绍了一名患有Fontan循环的儿童的成功心脏移植,由心室辅助装置 (VAD) 支持. 通过专门的外科手术技术克服了复杂的解剖学挑战,以改善结果.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 心血管外科心血管外科
- 器官移植 器官移植
背景情况:
- 芬坦手术为随后的正心心脏移植带来了独特的解剖学挑战.
- 改变的血液动力学和广泛的附带血管需要复杂的血管重建.
研究的目的:
- 报告在患有不良Fontan循环的儿科患者中成功进行了正管心脏移植.
- 描述用于在心脏移植后Fontan.期间管理复杂解剖的手术技术.
主要方法:
- 一名10岁的男孩患有Fontan循环和渐进性心力衰竭,接受了心室辅助装置 (VAD).
- 整形心脏移植是使用专门的技术进行的,包括宫通道,肺动脉重建用心周贴片和双动脉解剖.
- 由于过度的静脉回归,深度低温循环停止被用于左心房缩.
主要成果:
- 心脏移植手术在没有并发症的情况下完成.
- 患者经历了无事件的术后恢复,并在第35天出院.
- 在移植之前,该患者接受了三年的心室辅助装置支持.
结论:
- 在患有不良Fontan循环的儿童中,即使先前使用了VAD支持,也可以成功进行正心移植.
- 肺动脉重建和恢复双连续性对于管理这些病例中复杂的解剖学至关重要.
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