一种用于巨大左心房缩小的新技术。

A novel technique for giant left atrium reduction.

作者信息

Sinatra R, Pulitani I, Antonazzo A, Melina G

机构信息

Department of Cardiac Surgery, University of Rome La Sapienza, Rome, Italy.

出版信息

Eur J Cardiothorac Surg. 2001 Aug;20(2):412-4. doi: 10.1016/s1010-7940(01)00802-8.

DOI:10.1016/s1010-7940(01)00802-8

PMID:11463568

Abstract

We herein describe a safe and reproducible technique for left atrial volume reduction in patients with a giant left atrium. In a 56-year-old patient undergoing redo mitral valve replacement, the left atrium measured 18 x 20 x 17 cm occupying the middle-lower segment of the right hemithorax with compression of the adjacent organs. The left atrial volume was reduced by triangular resections of the atrial wall and the mitral valve was replaced using a mechanical prosthesis. The postoperative course was uneventful and the left atrial diameter was 11.2 cm at the latest control.

摘要

我们在此描述一种用于巨大左心房患者左心房容积减小的安全且可重复的技术。在一名接受再次二尖瓣置换术的56岁患者中，左心房大小为18×20×17厘米，占据右半胸的中下部分，压迫相邻器官。通过心房壁的三角形切除减小左心房容积，并使用机械瓣膜置换二尖瓣。术后过程平稳，在最近一次检查时左心房直径为11.2厘米。