Fujita Tomoyuki, Fukushima Satsuki, Fukushima Norihide, Shiraishi Isao, Kobayashi Junjiro
Departments of Cardiac Surgery, National Cerebral and Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka, 565-8565, Japan.
Transplantation, National Cerebral and Cardiovascular Center, Osaka, Japan.
J Artif Organs. 2017 Sep;20(3):289-291. doi: 10.1007/s10047-017-0955-8. Epub 2017 Mar 30.
A 59-year-old man who had been previously diagnosed with congenitally corrected transposition of the great arteries at the age of 35 years became a candidate for heart transplantation. At the age of 57 years, he was referred to our hospital and underwent implantation of a left ventricular assist device (EVAHEART; Sun Medical Technology Research Corp., Suwa City, Japan) because of worsening ventricular function and was listed as a heart transplant candidate. A donor appeared when the patient was 59 years. A three-dimensional replica was made using data from computed tomography angiography. The three-dimensional replica was made of soft rubber (crossMedical, Inc., Kyoto, Japan), which enabled the surgeons to understand the relationship between the great arteries and chambers. After repeated dry laboratories using this replica, the patient underwent successful heart transplantation.
一名59岁男性，35岁时被诊断为先天性矫正型大动脉转位，成为心脏移植候选人。57岁时，他因心室功能恶化被转诊至我院，接受了左心室辅助装置（EVAHEART；日本诹访市太阳医疗技术研究公司）植入，并被列入心脏移植候选名单。患者59岁时出现了供体。利用计算机断层血管造影数据制作了三维模型。该三维模型由软橡胶制成（日本京都crossMedical公司），这使外科医生能够了解大动脉与心腔之间的关系。在使用该模型反复进行模拟操作后，患者成功接受了心脏移植。
