在完全体外循环支持下联合同期心脏和肝脏移植。

Combined simultaneous heart and liver transplantation with complete cardiopulmonary bypass support.

作者信息

Bernier Pierre-Luc, Grenon Marlene, Ergina Patrick, Schricker Thomas, Chaudhury Prosanto, Metrakos Peter, Lachapelle Kevin

机构信息

Division of Cardiothoracic Surgery, McGill University Health Center, Montréal, Québec, Canada.

出版信息

Ann Thorac Surg. 2007 Apr;83(4):1544-5. doi: 10.1016/j.athoracsur.2006.10.014.

DOI:10.1016/j.athoracsur.2006.10.014

PMID:17383383

Abstract

Despite its initial description more than 20 years ago, combined orthotopic heart and liver transplantation is still performed infrequently. We report a 53-year-old man with familial hypertrophic restrictive cardiomyopathy who presented with right heart failure and end-stage liver failure and required combined orthotopic heart and liver transplantation. Rather then using a staged approach, the surgery was performed using a technique of simultaneous implantation supported by cardiopulmonary bypass. The relative merits of using a simultaneous approach are discussed. The patient had an uneventful postoperative course and went home on postoperative day 14.

摘要

尽管联合原位心脏和肝脏移植在20多年前就有了最初的描述，但目前仍很少进行。我们报告了一名53岁患有家族性肥厚性限制性心肌病的男性患者，他出现了右心衰竭和终末期肝功能衰竭，需要进行联合原位心脏和肝脏移植。手术没有采用分期手术的方法，而是在体外循环支持下采用同步植入技术进行。文中讨论了采用同步手术方法的相对优点。患者术后恢复顺利，术后第14天出院。