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术前体外膜肺氧合治疗重度缺血性二尖瓣反流——2例报告——

Preoperative Extracorporeal Membrane Oxygenation for Severe Ischemic Mitral Regurgitation - 2 case reports -.

作者信息

Kim Tae Sik, Na Chan-Young, Baek Jong Hyun, Kim Jae-Hyun, Oh Sam-Sae

机构信息

Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute, Korea.

出版信息

Korean J Thorac Cardiovasc Surg. 2011 Jun;44(3):236-9. doi: 10.5090/kjtcs.2011.44.3.236. Epub 2011 Jun 11.

DOI:10.5090/kjtcs.2011.44.3.236
PMID:22263158
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3249309/
Abstract

Indication for extracorporeal membrane oxygenation (ECMO) has been extended as the experience of ECMO in various clinical settings accumulates and the outcome after ECMO installation improves. We report two cases of successful mitral valve surgery for severe ischemic mitral regurgitation in patients on ECMO support for cardiogenic shock which developed upon coronary angiography.

摘要

随着体外膜肺氧合（ECMO）在各种临床环境中的经验积累以及ECMO植入后的预后改善，其适应证不断扩展。我们报告了两例在冠状动脉造影时发生心源性休克并接受ECMO支持的患者成功进行二尖瓣手术治疗严重缺血性二尖瓣反流的病例。

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本文引用的文献

1
Predictors of in-hospital prognosis after primary percutaneous coronary intervention for acute myocardial infarction requiring mechanical support devices.急性心肌梗死后需要机械支持装置的患者行直接经皮冠状动脉介入治疗后的院内预后预测因素。
Circ J. 2010 Jun;74(6):1152-7. doi: 10.1253/circj.cj-09-0774. Epub 2010 Apr 3.
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Early and intermediate results of rescue extracorporeal membrane oxygenation in adult cardiogenic shock.成人心源休克中体外膜肺氧合抢救的早期和中期结果。
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Does combined mitral valve surgery improve survival when compared to revascularization alone in patients with ischemic mitral regurgitation? A meta-analysis on 2479 patients.
与单纯血运重建相比，联合二尖瓣手术能否提高缺血性二尖瓣反流患者的生存率？一项针对2479例患者的荟萃分析。
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Improved survival after cardiac arrest using emergent autopriming percutaneous cardiopulmonary support.使用紧急自动预充式经皮心肺支持改善心脏骤停后的生存率。
Ann Thorac Surg. 2006 Aug;82(2):651-6. doi: 10.1016/j.athoracsur.2006.03.017.
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Systematic review of percutaneous cardiopulmonary bypass for cardiac arrest or cardiogenic shock states.经皮心肺转流用于心脏骤停或心源性休克状态的系统评价
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Back from irreversibility: extracorporeal life support for prolonged cardiac arrest.从不可逆性中逆转：体外生命支持用于长时间心脏骤停
Ann Thorac Surg. 2005 Jan;79(1):178-83; discussion 183-4. doi: 10.1016/j.athoracsur.2004.06.095.
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Repair versus replacement for degenerative mitral valve disease with coexisting ischemic heart disease.退行性二尖瓣疾病合并缺血性心脏病时修复与置换的比较
J Thorac Cardiovasc Surg. 2003 Jun;125(6):1350-62. doi: 10.1016/s0022-5223(02)73274-1.
8
Percutaneous cardiopulmonary support in critical patients needing coronary interventions with stents.需要进行冠状动脉支架置入术的危重症患者的经皮心肺支持
Catheter Cardiovasc Interv. 2002 Dec;57(4):467-75. doi: 10.1002/ccd.10340.
9
Results of surgery for irreversible moderate to severe mitral valve regurgitation secondary to myocardial infarction.心肌梗死继发不可逆性中重度二尖瓣反流的手术结果。
Eur J Cardiothorac Surg. 2002 May;21(5):818-24. doi: 10.1016/s1010-7940(02)00065-9.
10
Extracorporeal life support: the University of Michigan experience.体外生命支持：密歇根大学的经验
JAMA. 2000 Feb 16;283(7):904-8.