Loisance D Y, Deleuze P, Kawasaki K, Hillion M L, Binhas M, Heurtematte P, Tavolaro O, Leandri J, Cachera J P
Department of Cardiac Surgery, C.N.R.S. UA 591 C.H.U. Henri Mondor, Creteil, France.
J Heart Transplant. 1987 Sep-Oct;6(5):281-5.
Previous clinical experience in the use of a total artificial heart as a bridge to retransplantation in patients with acute major unresponsive cardiac rejection has shown an extremely high risk at various stages of the sequence. Unsatisfactory recovery during the period with the total artificial heart, surgical complications at retransplantation, and infection and/or rejection account for the lack of long-term survivors. A recent case permits the description of an original technique of implantation, which facilitates both the adequate positioning of the prosthetic ventricles and the surgery at retransplantation. The risks of rejection and infectious complications are discussed.
以往将全人工心脏作为急性严重难治性心脏排斥患者再次移植桥梁的临床经验表明，在这一过程的各个阶段风险都极高。使用全人工心脏期间恢复不佳、再次移植时的手术并发症以及感染和/或排斥反应导致长期存活者匮乏。最近有一例病例可以描述一种原创的植入技术，该技术有助于人工心室的恰当定位以及再次移植手术。本文还讨论了排斥反应和感染性并发症的风险。
