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外科心室修复:一种逆转重塑的手术——临床应用(第二部分)

Surgical Ventricular Restoration: An Operation to Reverse Remodeling - Clinical Application (Part II).

作者信息

Shanmugam Ganesh, Ali Imtiaz S

机构信息

Department of Surgery, Division of Cardiac Surgery, Dalhousie University, QEII Health Sciences Centre, Halifax Infirmary, 1796 Summer Street, Halifax, Nova Scotia B3H 3A7, Canada.

出版信息

Curr Cardiol Rev. 2009 Nov;5(4):350-9. doi: 10.2174/157340309789317913.

Abstract

The first part of the article dealt with the basic science behind the evolution of ventricular restoration procedures and the rationale for the use of novel surgical techniques. The second part describes the preoperative workup of patients in advanced heart failure, the core information required to determine the surgical approach and the essential principles and techniques of ventricular restoration. It then examines the effects of ventricular restorative procedures on pump function and clinical outcomes, the results of the worldwide experience with ventricular restoration and concludes with more recent advances in this field.

摘要

文章的第一部分探讨了心室修复手术发展背后的基础科学以及使用新型手术技术的基本原理。第二部分描述了晚期心力衰竭患者的术前检查、确定手术方法所需的核心信息以及心室修复的基本原理和技术。接着研究了心室修复手术对泵功能和临床结果的影响、全球心室修复经验的结果,并以该领域的最新进展作为总结。

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