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在植入左心室辅助装置后经左胸切口插入临时右心室辅助装置

Temporary Right Ventricular Assist Device Insertion via Left Thoracotomy after Left Ventricular Assist Device Implantation.

作者信息

Park Ilkun, Cho Yang Hyun, Chung Su Ryeun, Jeong Dong Seop, Sung Kiick, Kim Wook Sung, Lee Young Tak

机构信息

Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

Korean J Thorac Cardiovasc Surg. 2019 Apr;52(2):105-108. doi: 10.5090/kjtcs.2019.52.2.105. Epub 2019 Apr 5.

DOI:10.5090/kjtcs.2019.52.2.105
PMID:31089448
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6493264/
Abstract

Right heart failure is a relatively common complication after left ventricular assist device (LVAD) implantation. Severe right heart failure can be managed by temporary right ventricular assist device (RVAD) implantation. However, trans-sternal RVAD insertion requires a subsequent third sternotomy for cannula removal. Herein, we present a case of RVAD insertion via a left anterior mini-thoracotomy after LVAD implantation in a patient with alcohol-induced cardiomyopathy.

摘要

右心衰竭是左心室辅助装置（LVAD）植入术后相对常见的并发症。严重的右心衰竭可通过临时植入右心室辅助装置（RVAD）来处理。然而，经胸骨的RVAD植入需要后续进行第三次胸骨切开术以移除插管。在此，我们报告一例酒精性心肌病患者在LVAD植入术后通过左前小切口开胸植入RVAD的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfc0/6493264/6840723e30f3/kjtcv-52-105f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfc0/6493264/4a89ccf69700/kjtcv-52-105f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfc0/6493264/6840723e30f3/kjtcv-52-105f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfc0/6493264/4a89ccf69700/kjtcv-52-105f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfc0/6493264/6840723e30f3/kjtcv-52-105f2.jpg

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本文引用的文献

1
Concurrent Left Ventricular Assist Device (LVAD) Implantation and Percutaneous Temporary RVAD Support via CardiacAssist Protek-Duo TandemHeart to Preempt Right Heart Failure.通过CardiacAssist Protek-Duo TandemHeart同时植入左心室辅助装置（LVAD）和经皮临时右心室辅助装置支持以预防右心衰竭。
Med Sci Monit Basic Res. 2016 May 5;22:53-7. doi: 10.12659/MSMBR.898897.
2
Simple implantation of a temporary right ventricular device for right ventricular failure after left ventricular device implantation via a left lateral thoracotomy.经左侧侧胸切口行左心室装置植入术后，通过简单植入一个临时右心室装置治疗右心室衰竭。
ASAIO J. 2011 Jan-Feb;57(1):17-8. doi: 10.1097/MAT.0b013e318201a583.
3
Right ventricular failure in patients with the HeartMate II continuous-flow left ventricular assist device: incidence, risk factors, and effect on outcomes.
HeartMate II 连续血流左心室辅助装置患者的右心衰竭：发生率、危险因素及对结局的影响。
J Thorac Cardiovasc Surg. 2010 May;139(5):1316-24. doi: 10.1016/j.jtcvs.2009.11.020. Epub 2010 Feb 4.
4
Right ventricular assist device implantation--a new transcutaneous approach.右心室辅助装置植入——一种新的经皮途径
Thorac Cardiovasc Surg. 2004 Dec;52(6):378-9. doi: 10.1055/s-2004-821321.
5
Is severe right ventricular failure in left ventricular assist device recipients a risk factor for unsuccessful bridging to transplant and post-transplant mortality.左心室辅助装置接受者的严重右心室衰竭是否是移植桥接失败和移植后死亡率的危险因素。
Ann Thorac Surg. 2004 Mar;77(3):859-63. doi: 10.1016/j.athoracsur.2003.09.048.
6
New technique for the outflow cannulation of right ventricular assist device.右心室辅助装置流出道插管新技术。
Ann Thorac Surg. 1999 Sep;68(3):1092-3. doi: 10.1016/s0003-4975(99)00789-4.