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[心脏不停跳下二尖瓣成形术及冠状动脉旁路移植术治疗严重左心室功能不全:一例报告]

[Mitral valve plasty and coronary artery bypass grafting under beating heart cardiopulmonary bypass for severe left ventricular dysfunction; report of a case].

作者信息

Iwasa Shizuko, Takemura T, Shimamura Y, Sakaguchi M, Tsuda Y

机构信息

Department of Cardiovascular Surgery, National Nagano Hospital, Ueda, Japan.

出版信息

Kyobu Geka. 2004 Nov;57(12):1143-5.

Abstract

A 54-year-old man with ischemic mitral regurgitation and severe heart failure due to broad myocardial infarction successfully underwent mitral valve plasty and coronary artery bypass grafting under beating heart. He had an old anterior myocardial infarction and was admitted to our hospital with acute inferior myocardial infarction. Two weeks later, the cathetelization revealed moderate mitral regurgitation and triple vessel coronary artery disease. We selected antegrade continuous blood perfusion for myocardial protection on operation. He recovered uneventfully and discharged on postoperative day 31. We could perform this procedure safety and satisfactorily, we could this procedure for heart valve operation with other complications.

摘要

一名54岁男性,因广泛心肌梗死导致缺血性二尖瓣反流和严重心力衰竭,在心脏跳动下成功接受了二尖瓣成形术和冠状动脉旁路移植术。他有陈旧性前壁心肌梗死,因急性下壁心肌梗死入院。两周后,心导管检查显示中度二尖瓣反流和三支血管冠状动脉疾病。我们在手术中选择顺行持续血液灌注进行心肌保护。他恢复顺利,术后第31天出院。我们能够安全、满意地进行该手术,我们也可以对伴有其他并发症的心脏瓣膜手术采用此方法。

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