Royal Brompton and Harefield NHS Foundation Trust Hill End Road, Harefield, Uxbridge, London, UB9 6JH.
Multimed Man Cardiothorac Surg. 2021 Aug 26;2021. doi: 10.1510/mmcts.2021.044.
Reopening the chest in patients with left ventricular assist devices at the time of a heart transplant is challenging due to adhesions and the possibility of injury to vital structures. The sternal sparing bilateral thoracotomy approach utilized to implant a left ventricular assist device minimizes the chances of such injuries and offers a cosmetically better outcome. We demonstrate a procedure for implanting a left ventricular assist device in a 54-year-old man diagnosed with dilated cardiomyopathy who suffered rapid decompensation despite maximum medical therapy.
在进行心脏移植时，由于存在粘连和损伤重要结构的可能性，因此对左心室辅助设备（LVAD）患者重新打开胸腔颇具挑战性。采用胸骨保留双侧开胸术来植入左心室辅助设备可最大程度地减少此类损伤的发生，并提供更好的美容效果。我们展示了一种在 54 岁男性中植入左心室辅助设备的手术方法，该男性患有扩张型心肌病，尽管接受了最大程度的药物治疗，但仍迅速恶化。
