Department of Surgery, Section of Transplantation, University of Kentucky College of Medicine, Lexington, Kentucky 40536-0284, USA.
Semin Thorac Cardiovasc Surg. 2012 Autumn;24(3):232-4. doi: 10.1053/j.semtcvs.2012.03.003.
The use of atrial septostomy for refractory pulmonary hypertension and right ventricular failure results in an adequate left ventricular preload and improved cardiac output at the expense of a profound hypoxic shunt. Combined dual-lumen venovenous extracorporeal membrane oxygenation and atrial septostomy provides extracorporeal gas exchange of venous return before the directional right atrial to left atrial shunt, can be deployed percutaneously, and results in an ambulatory patient with stable hemodynamics.
房间隔造口术用于治疗难治性肺动脉高压和右心衰竭，以牺牲严重的低氧分流为代价，使左心室前负荷充足，并改善心输出量。结合双腔静脉-静脉体外膜肺氧合和房间隔造口术，可以在定向右心房到左心房分流之前进行静脉回流的体外气体交换，可经皮部署，并使患者保持稳定的血流动力学，可进行日常活动。
