在左心室辅助器件植入期间进行大动脉环解剖手术,用于严重的大动脉吐:一个案例报告
Kamile Özeren1, Ayhan Güneş1, Mustafa E Gürcü2
1From the Department of Cardiovascular Surgery, Koşuyolu High Specialization Education and Research Hospital, Istanbul, Turkey.
概括
在接受HeartMate 3左心室辅助器件 (LVAD) 的患者中,内部大动脉环废除术有效治疗了严重的大动脉反 (AR). 这种手术技术为在LVAD植入过程中管理AR提供了一个有希望的解决方案.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 机械循环支持 机械循环支持
背景情况:
- 大动脉反 (AR) 复杂化左心室辅助器件 (LVAD) 植入,损害了器件的功能.
- 目前在LVAD过程中对AR的手术选择有局限性.
研究的目的:
- 报告一种新的手术方法,用于在接受LVAD植入的患者中治疗严重的大动脉吐.
- 为了评估内部大动脉环结婚术作为辅助治疗的疗效.
主要方法:
- 一名59岁的男性患有非缺血性心肌病和严重的AR,接受了HeartMate 3 LVAD植入.
- 同时的手术包括内主动脉环解剖手术和德维加三管修复.
- 术后评估使用过食道心声学.
主要成果:
- 患者经历了成功的LVAD植入与有效卸载.
- 术后心声图显示只有痕迹的AR和轻微的三腹吐.
- 门功能在2个月的随访期间保持稳定,并无故障恢复.
结论:
- 内部几何环废除术是一种可行且有效的外科辅助手术,用于在LVAD植入期间管理AR.
- 这种技术保留了原生门的功能,并提供了一个潜在的耐用性,生理替代品.
- 需要进一步的研究来探索其在机械循环支持中的作用.
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