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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。

Surgical reconstruction of a giant left ventricular aneurysm with prior unloading using a microaxial pump.

机构信息

Department of Cardiac Surgery, University Hospital Mainz, Mainz, Germany.

Department of Cardiac Surgery, University Hospital Bonn, Bonn, Germany.

出版信息

Interact Cardiovasc Thorac Surg. 2022 Aug 3;35(3). doi: 10.1093/icvts/ivac137.

DOI:10.1093/icvts/ivac137
PMID:35575384
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9486926/
Abstract

A 46-year-old male patient presented with cardiac decompensation due to a giant left ventricular aneurysm combined with a severely reduced left ventricular function after a silent myocardial infarction. Left ventricular unloading was performed with a microaxial pump as a bridge to surgery. Myocardial function in the basal segments was preserved and surgical ventricular reconstruction was performed successfully.

摘要

一位 46 岁男性患者因无症状性心肌梗死后形成巨大左心室动脉瘤伴严重左心室功能降低导致心功能失代偿而就诊。使用微型轴流泵进行左心室减载作为手术桥接。基底段心肌功能得以保留，并成功进行了心室重建手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51b4/9486926/bc211a59ab46/ivac137f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51b4/9486926/dd732628e76e/ivac137f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51b4/9486926/8ac140365baf/ivac137f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51b4/9486926/bc211a59ab46/ivac137f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51b4/9486926/dd732628e76e/ivac137f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51b4/9486926/8ac140365baf/ivac137f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51b4/9486926/bc211a59ab46/ivac137f2.jpg

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本文引用的文献

1
Left ventricle reconstruction and heartmate3 implantation. The "double patch technique".左心室重建与 HeartMate3 植入。“双补丁技术”。
J Card Surg. 2020 Nov;35(11):3116-3119. doi: 10.1111/jocs.14913. Epub 2020 Sep 19.
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Impella Support for Acute Myocardial Infarction Complicated by Cardiogenic Shock.经皮 Impella 辅助治疗伴心原性休克的急性心肌梗死。
Circulation. 2019 Mar 5;139(10):1249-1258. doi: 10.1161/CIRCULATIONAHA.118.036614.
3
Risk factors for mortality and hospital re-admission after surgical ventricular restoration.
手术性心室修复术后死亡和再次入院的危险因素。
Eur J Cardiothorac Surg. 2006 Nov;30(5):762-9. doi: 10.1016/j.ejcts.2006.08.020. Epub 2006 Oct 5.
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Left ventricular reconstruction by endoventricular circular patch plasty repair: a 17-year experience.采用心室内环形补片成形术修复进行左心室重建：17年经验
Semin Thorac Cardiovasc Surg. 2001 Oct;13(4):435-47. doi: 10.1053/stcs.2001.29966.
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