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三例患有大动脉D型转位和肺动脉高压的新生儿通过体外膜肺氧合成功进行术前过渡。

Successful preoperative bridge with extracorporeal membrane oxygenation in three neonates with D-transposition of the great vessels and pulmonary hypertension.

作者信息

Said Ahmed S, McBride Mary E, Gazit Avihu Z

机构信息

1Department of Pediatrics,Division of Critical Care,Washington University in St. Louis,St. Louis,MO,USA.

2Department of Pediatrics,Divisions of Cardiology and Critical Care,Northwestern University Feinberg School of Medicine,Chicago,IL,USA.

出版信息

Cardiol Young. 2018 Sep;28(9):1175-1177. doi: 10.1017/S1047951118001038. Epub 2018 Jul 11.

Abstract

Pulmonary hypertension with transposition of the great arteries is associated with significant morbidity and mortality. At the worst end of the spectrum are patients who undergo extracorporeal support perioperatively. We describe our experience with three patients who received preoperative extracorporeal support and separated from cardiopulmonary bypass successfully on conventional postoperative care, with no significant deficits on follow-up.

摘要

伴有大动脉转位的肺动脉高压与显著的发病率和死亡率相关。在病情最严重的患者中,有一部分是在围手术期接受体外支持的患者。我们描述了3例接受术前体外支持并在常规术后护理下成功脱离体外循环的患者的经验,随访时无明显功能缺损。

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