在重症大动脉狭窄症下进行大动脉置换后的石心综合征:一个病例报告
1Department of Cardiovascular and Thoracic Surgery Anaesthesiology, Nicosia General Hospital, Nicosia, CYP.
Cureus
|February 23, 2026
概括
石心综合征 (SHS) 是心脏手术的一种罕见而致命的并发症. 这一案例凸显了减少缺血时间的重要性,以防止不可逆转的心肌收缩.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
背景情况:
- 石心综合征 (SHS) 是心脏手术的一种罕见,灾难性的并发症.
- 它的特点是长期的全球性心肌缺血后不可逆转的缺血性心肌收缩.
- 一旦建立,SHS几乎均致命.
研究的目的:
- 在接受主动脉置换的患者中报告石心综合征 (SHS) 的病例.
- 强调尽量减少心肌缺血时间的关键作用.
主要方法:
- 一名55岁的女性患有严重的症状性大动脉狭窄,接受了选择性机械大动脉置换.
- 迷你胸腔切除术期间的技术困难导致了长时间的大动脉十字时间和重复的心脏.
- 中心静脉动脉外体膜氧化已在术后开始.
主要成果:
- 患者患上了完全的左心室动脉,无法从心肺旁路术中断奶.
- 全胸骨切割显示了刚性,不符合心肌,与SHS.相一致.
- 尽管体外膜氧化,心肌恢复没有发生,患者死于多器官衰竭.
结论:
- SHS是由深度心肌缺血引起的,导致ATP耗尽,过载和不可逆转的动因-肌酸酶结合.
- 通过仔细的心肌保护和最小化缺血时间来预防是唯一有效的策略.
- 这一案例凸显了SHS的破坏性和不可逆转性质.
相关概念视频
Aortic Regurgitation III: Medical Management
499
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
499
Aortic Regurgitation I: Introduction
828
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
828
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
649
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
649
Rheumatic Heart Disease I: Introduction
605
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
605
Mitral Stenosis IV: Nursing Management
313
A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
313
Mitral Stenosis I: Introduction
888
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
888


