Dykes John C, Reinhartz Olaf, Almond Christopher S, Yarlagadda Vamsi, Murray Jenna, Rosenthal David N, Maeda Katsuhide
Division of Pediatric Cardiology, Department of Pediatrics, Lucile Packard Children's Hospital, Stanford University School of Medicine, Stanford, California.
Division of Pediatric Cardiac Surgery, Department of Cardiovascular Surgery, Stanford University School of Medicine, Stanford, California.
Ann Thorac Surg. 2017 Aug;104(2):e185-e186. doi: 10.1016/j.athoracsur.2017.02.069.
We report an infant with hypertrophic cardiomyopathy who underwent biventricular assist device placement with two 15-mL Berlin Heart EXCOR pediatric ventricular assist devices using an alternative atrial cannulation strategy. The systemic circulation was supported by left atrium (LA) to aorta cannulation. The LA was accessed through the right atrium by extending a 6-mm EXCOR cannula with a Gore-Tex graft connected to an atrial septal defect. The pulmonary circulation was supported with cannulation of the right atrium to pulmonary artery. This alternative cannulation strategy facilitated effective biventricular support and may be applicable to other patients with hypertrophic or restrictive physiology.
我们报告了一名患有肥厚型心肌病的婴儿，该婴儿使用替代心房插管策略，通过两个15毫升的柏林心脏EXCOR小儿心室辅助装置进行了双心室辅助装置置入。体循环由左心房（LA）至主动脉插管支持。通过将一根6毫米的EXCOR插管与连接到房间隔缺损的戈尔特斯移植物延长，经右心房进入LA。肺循环通过右心房至肺动脉插管支持。这种替代插管策略有助于有效的双心室支持，可能适用于其他具有肥厚或限制性生理特征的患者。
