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左心室重建与 HeartMate3 植入。“双补丁技术”。

Left ventricle reconstruction and heartmate3 implantation. The "double patch technique".

机构信息

Department of Cardiology and Cardio-Vascular Surgery, Hôpital Cardiologique de Haut-Lévèque, University Hospital, Bordeaux, France.

Department of Cardiology, Thoracic, Vascular, and Public Health Sciences, University of Padua, Padova, Italy.

出版信息

J Card Surg. 2020 Nov;35(11):3116-3119. doi: 10.1111/jocs.14913. Epub 2020 Sep 19.

DOI:10.1111/jocs.14913
PMID:32949043
Abstract

BACKGROUND

HeartMate 3 is a left ventricular assist device, composed of a centrifugal pump. It can be applied as a myocardial recovery, a bridge to transplant, or a destination therapy, in the treatment of patients with left ventricular heart failure.

METHODS

Herein we describe a technique applied against a giant aneurysmal dilatation, which combines a surgical device implantation and a left ventricular reconstruction using a double patch.

RESULTS

The patch minimizes thrombotic risk thanks to its internal bovine pericardium layer, which is in contact with blood.

CONCLUSIONS

The outlined technique is relatively reproducible and safe in a selected group of patients, as it employs a high-quality device and enables the restoration of an appropriate ventricular geometry.

摘要

背景

HeartMate 3 是一种左心室辅助装置,由离心泵组成。它可以作为心肌恢复、移植桥接或终末期心力衰竭的治疗手段。

方法

本文介绍了一种针对巨大动脉瘤样扩张的技术,该技术结合了外科设备植入和使用双补丁的左心室重建。

结果

补丁的内层为牛心包,与血液接触,可最大程度降低血栓形成的风险。

结论

在选定的患者群体中,该技术相对可重复且安全,因为它使用了高质量的设备,并能够恢复适当的心室几何形状。

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引用本文的文献

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Advances in Surgical Treatments of Left Ventricular Aneurysms.左心室室壁瘤外科治疗的进展
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Surgical reconstruction of a giant left ventricular aneurysm with prior unloading using a microaxial pump.应用微型轴流泵进行预先减荷后对巨大左心室动脉瘤进行外科重建。
Interact Cardiovasc Thorac Surg. 2022 Aug 3;35(3). doi: 10.1093/icvts/ivac137.