The Oxford Heart Centre, The John Radcliffe Hospital, Headington, Oxford, UK.
Eur J Cardiothorac Surg. 2012 Oct;42(4):728-30. doi: 10.1093/ejcts/ezs375. Epub 2012 Jul 3.
End-stage cardiac failure where appropriate is best treated with cardiac transplantation. With improvements in medical therapy, the emergence of primary percutaneous coronary intervention, and an increasingly ageing population, patients with right, left or biventricular failure, who are not suitable for cardiac transplantation or long-term ventricular assist device therapy, present for cardiac surgery. The modern cardiac surgeon needs to have a safe strategy for dealing with these complex cases. We report two cases that illustrate simple and safe cannulation techniques for temporary left and right ventricular failure.
终末期心力衰竭,在适当的情况下,最好通过心脏移植来治疗。随着医学治疗的改善、原发性经皮冠状动脉介入治疗的出现以及人口老龄化的加剧,那些不适合心脏移植或长期心室辅助装置治疗的右心室、左心室或双心室衰竭患者需要进行心脏手术。现代心脏外科医生需要有一个安全的策略来处理这些复杂的病例。我们报告了两例病例,这些病例说明了用于临时左心室和右心室衰竭的简单而安全的插管技术。