Aroussi Aziz Alami, Sami Ibrahim Mohamed, Leguerrier Alain, Verhoye Jean Phillippe
Department of Thoracic and Cardiovascular Surgery, University Hospital Ponchaillou, Rennes, France.
Ann Thorac Surg. 2006 May;81(5):1911-2. doi: 10.1016/j.athoracsur.2005.02.070.
Thrombectomy could be an excellent approach on one condition (ie, that all parts of the thrombus are removed). We propose to use a tool (ie, the blower) to complete thrombectomy of the prosthetic mechanical valve. The blower is a vaporizer that mixes air and heparinized saline with regulator of flow and proportion used in beating heart surgery. For thrombectomy, we have modified the air-water mixing part and intensity until we obtained a jet that enabled us to remove the micro thrombus that covered the prosthetic valve and surrounding tissues. The blower completely cleaned the prosthetic valve. With this tool, thrombectomy seems easier, more complete, and more reliable with the advantages of short cross-clamping time.
血栓切除术在一种情况下可能是一种极好的方法(即血栓的所有部分都被清除)。我们建议使用一种工具(即吹风机)来完成人工机械瓣膜的血栓切除术。该吹风机是一种蒸发器,在心脏跳动手术中使用流量和比例调节器将空气和肝素化盐水混合。对于血栓切除术,我们对空气 - 水混合部分和强度进行了改进,直到我们获得了一股射流,使我们能够清除覆盖人工瓣膜和周围组织的微血栓。吹风机完全清洁了人工瓣膜。使用这种工具,血栓切除术似乎更容易、更彻底、更可靠,具有缩短夹闭时间的优点。