ACORN CorCap装置植入后的心脏移植

Cardiac transplantation following ACORN CorCap device implantation.

作者信息

Schroder Jacob N, Lima Brian, Rogers Joseph G, Milano Carmelo A

机构信息

Department of Surgery, Division of Cardiothoracic Surgery, Duke University Medical Center, Durham, NC 27710, USA.

出版信息

Eur J Cardiothorac Surg. 2006 May;29(5):848-50. doi: 10.1016/j.ejcts.2006.02.019. Epub 2006 Apr 4.

DOI:10.1016/j.ejcts.2006.02.019

PMID:16600613

Abstract

Passive ventricular restraint devices, such as the ACORN CorCap, have been introduced as a potential therapy for congestive heart failure (CHF). These mesh devices act as a mechanical support for the dilated heart. Due to incorporation of the device to the epicardium, concerns about the feasibility of reoperation following CorCap placement have been raised. This case illustrates that although technically challenging, reoperation for heart transplantation after CorCap implantation is feasible and safe.

摘要

被动性心室约束装置，如ACORN CorCap，已被作为治疗充血性心力衰竭（CHF）的一种潜在疗法引入。这些网状装置对扩张的心脏起到机械支撑作用。由于该装置与心外膜结合，有人对放置CorCap后再次手术的可行性提出了担忧。本病例表明，尽管技术上具有挑战性，但CorCap植入后进行心脏移植再次手术是可行且安全的。