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保留右心室的左心室切除术及连续流旋转血泵置换:一项体内实验。

Right ventricle-sparing left ventricular resection and replacement with a continuous-flow rotary blood pump: an in vivo experiment.

作者信息

Frazier O H, Tuzun Egemen, Narin Cuneyt, Cohn William E

机构信息

Cardiovascular Surgical Research Laboratories, Texas Heart Institute, St. Luke's Episcopal Hospital, Houston, Texas 77030, USA.

出版信息

Tex Heart Inst J. 2010;37(3):276-9.

PMID:20548801
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2879189/
Abstract

Despite recent advances in left ventricular assist device and total artificial heart technologies, these devices are still so large that they pose a significant problem in small patients with refractory heart failure. Excising the left ventricle while preserving the right ventricle--and then replacing the left ventricle with a mechanical pump--has been proposed as an alternative approach to this problem. We conducted a pilot study to evaluate possible surgical techniques and the hemodynamic effects of right ventricle-sparing left ventricular resection and replacement with a continuous-flow rotary blood pump in a healthy bovine model.

摘要

尽管最近左心室辅助装置和全人工心脏技术取得了进展,但这些装置仍然非常大,给患有难治性心力衰竭的小患者带来了重大问题。有人提出,切除左心室同时保留右心室,然后用机械泵替代左心室,作为解决这个问题的一种替代方法。我们进行了一项初步研究,以评估在健康牛模型中进行保留右心室的左心室切除并使用连续流旋转血泵替代左心室的可能手术技术和血流动力学效应。

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本文引用的文献

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Differences in pulsatile and non-pulsatile mechanical circulatory support in long-term use.长期使用中搏动性与非搏动性机械循环支持的差异。
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Total circulatory support with an LVAD in an adolescent with a previous Fontan procedure.一名曾接受Fontan手术的青少年患者使用左心室辅助装置进行全循环支持。
Tex Heart Inst J. 2005;32(3):402-4.
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Surgical technique and hemodynamic characteristics of partial cardiac replacement with an artificial left ventricle.人工左心室部分心脏置换的手术技术及血流动力学特征
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