Michel Sebastian, Schmitz Christoph, Ueberfuhr Peter, Bigdeli Amir K, Wolf Manuel, Bruegger Christina, Schmauss Daniel, Weis Marion, Reichart Bruno, Sodian Ralf
Department of Cardiac Surgery, Ludwig-Maximilians-University, Marchioninistrasse 15, Munich, Germany.
Heart Surg Forum. 2011 Aug;14(4):E258-60. doi: 10.1532/HSF98.20101116.
In an aging population, numerous patients who underwent previous coronary artery bypass grafting (CABG) are presenting with end-stage ischemic cardiomyopathy. Although redo CABG and cardiological interventions are possible treatment options, orthotopic heart transplantation remains an ultimate option for these patients. However, there is high morbidity and mortality on the waiting list, and mechanical circulatory support is a life-saving concept [Hetzer 2006; Taylor 2009].We developed a simplified and safe technique for implantation of a biventricular assist device as a redo in complex patients after previous CABG and end-stage heart failure.
在老龄化人群中，许多曾接受过冠状动脉旁路移植术（CABG）的患者出现了终末期缺血性心肌病。虽然再次冠状动脉旁路移植术和心脏介入治疗是可行的治疗选择，但原位心脏移植仍是这些患者的最终选择。然而，等待名单上的发病率和死亡率很高，而机械循环支持是一种挽救生命的理念[赫策尔2006年；泰勒2009年]。我们开发了一种简化且安全的技术，用于在先前接受过冠状动脉旁路移植术和终末期心力衰竭的复杂患者中再次植入双心室辅助装置。
