Department of Cardiovascular Surgery, Kobe Children's Hospital, Kobe, Japan.
Department of Cardiovascular Surgery, Kobe Children's Hospital, Kobe, Japan.
Ann Thorac Surg. 2019 Mar;107(3):e227-e228. doi: 10.1016/j.athoracsur.2018.07.084. Epub 2018 Sep 29.
Extracorporeal membrane oxygenation through cervical cannulation is an established option for pediatric patients with acute cardiopulmonary failure. However, left-sided heart decompression is sometimes mandatory in patients with severe left ventricular dysfunction. This report describes a fast and less invasive technique for placing a left atrial cannula through a left anterior minithoracotomy approach. In 4 critically ill children, this minimally invasive technique provided satisfactory left-sided heart decompression, and this report describes a representative case.
经颈静脉体外膜肺氧合是治疗小儿急性心肺衰竭的一种成熟选择。然而，对于严重左心室功能障碍的患者，有时需要进行左心减压。本报告描述了一种通过左前胸小切口途径放置左心房插管的快速、微创技术。在 4 例危重症患儿中，该微创技术提供了满意的左心减压效果，本文报告了 1 例代表性病例。
