Kodera Kohjiro, Kitamura Masaya, Hachida Mitsuhiro, Endo Masahiro, Hashimoto Akimasa, Koyanagi Hitoshi
Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical College, Tokyo, Japan.
Artif Organs. 1996 May;20(5):724-727. doi: 10.1111/j.1525-1594.1996.tb04512.x.
Between January 1984 and March 1995, biventricular bypass (BVB) with oxygenation was used in 17 patients for postcardiotomy ventricular failure at the Heart Institute of Japan, Tokyo Women's Medical College. Of the 17 patients, 12 (70.6%) were weaned from the circulatory support, and 8 (47.1%) were discharged from the hospital. The time interval from the end of cardiopulmonary bypass to the start of BVB was significantly shorter in weaned patients than in unweaned patients. The duration on support also has been shortened significantly in the last 6 years, compared with the earlier 6 years. Causes of death were severe heart failure or ventricular arrhythmia in 6 patients and multiple organ failure in 3 patients. These results suggest that early application and timely weaning from biventricular bypass with oxygenation might be the effective circulatory support of choice for treatment of postcardiotomy ventricular failure.
1984年1月至1995年3月期间，日本东京女子医科大学心脏研究所对17例心脏术后发生心室衰竭的患者采用了带氧合的双心室旁路（BVB）治疗。17例患者中，12例（70.6%）成功脱离循环支持，8例（47.1%）出院。成功脱机的患者从体外循环结束到开始BVB的时间间隔明显短于未脱机患者。与前6年相比，过去6年的支持时间也显著缩短。死亡原因包括6例严重心力衰竭或室性心律失常和3例多器官功能衰竭。这些结果表明，早期应用并及时撤离带氧合的双心室旁路可能是治疗心脏术后心室衰竭有效的循环支持选择。
