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“心脏不停跳蝶式技术”修复基底节后梗死室间隔缺损。

The 'beating-heart butterfly technique' for repair of basal post-infarction ventricle septum defect.

机构信息

Department of Cardiovascular Surgery, University Hospital and University of Bern, Bern, Switzerland.

Department of Cardiovascular Surgery, German Heart Center, Berlin, Germany.

出版信息

Interact Cardiovasc Thorac Surg. 2022 May 2;34(5):919-920. doi: 10.1093/icvts/ivac026.

DOI:10.1093/icvts/ivac026
PMID:35134948
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9070524/
Abstract

Ischaemic ventricular septal defect is a serious complication of acute myocardial infarction with poor outcome. We present the 'beating-heart butterfly' technique to close the ventricular septal defect with a double-layered pericardial patch sewn to the intact septum under beating-heart cardiopulmonary bypass in 4 highest-risk patients. This technique combined with a liberal postoperative mechanical circulatory support and open-chest treatment allowed excellent results with 12 months of survival in all patients.

摘要

缺血性室间隔缺损是急性心肌梗死的严重并发症，预后不良。我们介绍了“跳动心脏蝴蝶”技术，在体外循环下，使用双层心包补片缝合到完整的间隔上，以闭合 4 例高危患者的室间隔缺损。这种技术结合术后机械循环支持和开胸治疗，使所有患者在 12 个月的随访中均获得了极好的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a25/9070524/331abc82a3eb/ivac026f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a25/9070524/76edbb978cf8/ivac026f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a25/9070524/331abc82a3eb/ivac026f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a25/9070524/76edbb978cf8/ivac026f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a25/9070524/331abc82a3eb/ivac026f2.jpg

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本文引用的文献

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Surgical Repair of Post-Infarction Ventricular Septal Defect　- Findings From a Japanese National Database.心肌梗死后室间隔缺损的外科修复 - 来自日本国家数据库的结果。
Circ J. 2019 Oct 25;83(11):2229-2235. doi: 10.1253/circj.CJ-19-0593. Epub 2019 Sep 11.
2
Veno-Arterial ECMO in the Setting of Post-Infarct Ventricular Septal Defect: A Bridge to Surgical Repair.心肌梗死后室间隔缺损情况下的静脉-动脉体外膜肺氧合：通向手术修复的桥梁。
Heart Lung Circ. 2016 Nov;25(11):1063-1066. doi: 10.1016/j.hlc.2016.02.024. Epub 2016 May 10.
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Two-patch technique for postinfarction inferoposterior ventricular septal defect.
儿童呼吸困难的罕见病因：棘球蚴所致的包虫囊肿。
World J Pediatr Congenit Heart Surg. 2024 Jan;15(1):112-114. doi: 10.1177/21501351231178757. Epub 2023 Jun 20.
心肌梗死后下后间隔室间隔缺损的双补片技术
Ann Thorac Surg. 2009 Aug;88(2):692-4. doi: 10.1016/j.athoracsur.2008.11.049.
4
Post infarction ventricular septal defect - can we do better?心肌梗死后室间隔缺损——我们能做得更好吗？
Eur J Cardiothorac Surg. 2000 Aug;18(2):194-201. doi: 10.1016/s1010-7940(00)00482-6.