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晚期心力衰竭患者同一住院期间行左心室辅助装置植入术和开放性腹主动脉瘤修复术。

Left ventricular assist device insertion and open abdominal aortic aneurysm repair in same admission for an end-stage heart failure patient.

机构信息

Department of Cardiothoracic Surgery, Queen Mary Hospital, Hong Kong, Hong Kong.

出版信息

Interact Cardiovasc Thorac Surg. 2022 Jun 1;34(6):1180-1182. doi: 10.1093/icvts/ivab362.

DOI:10.1093/icvts/ivab362
PMID:34962277
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9159457/
Abstract

Patients suffering from end-stage heart failure also suffer from multiple cardiovascular comorbidities such as abdominal aortic aneurysm (AAA). Mechanical support with left ventricular assist device with open repair of AAA repair has rarely been reported in literature. The authors describe a 60-year-old male with end-stage heart failure and a symptomatic AAA with sequential left ventricular assist device insertion and open AAA repair with aortic cross-clamping.

摘要

患有终末期心力衰竭的患者还患有多种心血管合并症，如腹主动脉瘤（AAA）。在文献中很少有报道使用左心室辅助装置进行机械支持和开放性 AAA 修复。作者描述了一位 60 岁男性，患有终末期心力衰竭和症状性 AAA，先后进行了左心室辅助装置插入和开放性 AAA 修复，并用主动脉阻断夹进行了主动脉交叉夹闭。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0759/9159457/324eb50d77ff/ivab362f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0759/9159457/aa9931a0ab4b/ivab362f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0759/9159457/324eb50d77ff/ivab362f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0759/9159457/aa9931a0ab4b/ivab362f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0759/9159457/324eb50d77ff/ivab362f2.jpg

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本文引用的文献

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Anesthetic management for abdominal aortic surgery in a patient with a left ventricular assist device: a case report.左心室辅助装置患者腹主动脉手术的麻醉管理：一例报告
JA Clin Rep. 2015;1(1):10. doi: 10.1186/s40981-015-0011-8. Epub 2015 Nov 30.
2
Endovascular abdominal aortic aneurysm repair in patients with ventricular assist devices.
Ann Vasc Surg. 2014 Oct;28(7):1792.e19-22. doi: 10.1016/j.avsg.2014.03.013. Epub 2014 Mar 31.
3
Biventricular assist device implantation as bridge to heart transplantation concomitant with open repair of infrarenal aortic aneurysm.
Interact Cardiovasc Thorac Surg. 2008 Aug;7(4):738-9. doi: 10.1510/icvts.2007.172114. Epub 2008 May 9.
4
Abdominal aortic aneurysm surgery with mechanical support using the Impella microaxial blood pump.使用Impella微轴血泵进行机械支持的腹主动脉瘤手术。
Interact Cardiovasc Thorac Surg. 2008 May;7(3):524-5. doi: 10.1510/icvts.2007.173146. Epub 2008 Feb 14.
5
Abdominal aortic aneurysms after heart transplantation.心脏移植术后腹主动脉瘤
J Heart Lung Transplant. 2004 Feb;23(2):171-7. doi: 10.1016/S1053-2498(03)00111-6.