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一名患有系统性右心室和漏斗胸患者的心室辅助装置植入术。

Ventricular assist device implantation in a patient with systemic right ventricle and pectus excavatum.

作者信息

Ansari Ramandi Mohammad Mostafa, van den Broek Stan A J, Mecozzi Gianclaudio, Erasmus Michiel E, van Melle Joost P, Damman Kevin

机构信息

University of Groningen, Department of Cardiology, University Medical Center Groningen, Groningen, the Netherlands.

University of Groningen, Department of Cardiothoracic Surgery, University Medical Center Groningen, Groningen, the Netherlands.

出版信息

J Cardiol Cases. 2022 May 2;26(2):122-125. doi: 10.1016/j.jccase.2022.03.021. eCollection 2022 Aug.

DOI:10.1016/j.jccase.2022.03.021
PMID:35949576
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9352421/
Abstract

UNLABELLED

Systemic right ventricular failure is a common finding in patients with transposition of the great arteries. Some of these patients require ventricular assist device implantation. We describe the feasibility of HeartMate 3 [Abbott, Illinois, United States] implantation in a patient with transposition of the great arteries, high human leukocyte antigen sensitization, and severe pectus excavatum using a two-stage approach.

LEARNING OBJECTIVES

1.To notice the challenges faced while implanting HeartMate 3 [Abbott, Illinois, United States] in patients with congenital heart disease and anatomical limitations.2.To understand that despite the difficulties, HeartMate 3 implantation is possible, worthwhile, and sometimes the only choice in a patient with end-stage heart failure and congenital heart disease.

摘要

未标注

系统性右心室衰竭在大动脉转位患者中很常见。其中一些患者需要植入心室辅助装置。我们描述了采用两阶段方法,在一名患有大动脉转位、高人类白细胞抗原致敏和严重漏斗胸的患者中植入HeartMate 3[美国伊利诺伊州雅培公司]的可行性。

学习目标

1.注意在先天性心脏病和解剖学限制患者中植入HeartMate 3[美国伊利诺伊州雅培公司]时面临的挑战。2.理解尽管存在困难,但对于终末期心力衰竭和先天性心脏病患者,植入HeartMate 3是可行的、值得的,有时甚至是唯一的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be01/9352421/53f623c602b7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be01/9352421/53f623c602b7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be01/9352421/53f623c602b7/gr1.jpg

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本文引用的文献

1
Durable ventricular assist device implantation for systemic right ventricle: a case series.用于系统性右心室的耐用型心室辅助装置植入:病例系列
Eur Heart J Case Rep. 2020 Nov 18;4(6):1-9. doi: 10.1093/ehjcr/ytaa359. eCollection 2020 Dec.
2
Mechanical circulatory support as a bridge to candidacy in adults with transposition of the great arteries and a systemic right ventricle.机械循环支持作为大动脉转位合并体循环右心室成人患者等待心脏移植期间的过渡治疗手段
Eur J Cardiothorac Surg. 2020 Nov 23. doi: 10.1093/ejcts/ezaa373.
3
Mustard Baffle Revision With Systemic Ventricular Assist Device Placement.
Mustard 法修补伴全身心室辅助装置植入术。
Ann Thorac Surg. 2020 Oct;110(4):e279-e280. doi: 10.1016/j.athoracsur.2020.03.038. Epub 2020 Apr 18.
4
Ventricular assist device implantation in patients with a failing systemic right ventricle: a call to expand current practice.右心室功能衰竭患者的心室辅助装置植入:呼吁拓展当前实践。
Neth Heart J. 2019 Dec;27(12):590-593. doi: 10.1007/s12471-019-01314-y.
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A Minimally Invasive Approach to HeartMate 3 Implantation for Systemic Ventricular Failure Following the Mustard Procedure for Transposition of the Great Arteries.经大动脉转位 Mustard 手术后出现系统性心室衰竭,采用微创方法植入 HeartMate 3。
ASAIO J. 2020 Apr;66(4):e62-e63. doi: 10.1097/MAT.0000000000001014.
6
The effect of age, diagnosis, and previous surgery in children and adults undergoing heart transplantation for congenital heart disease.年龄、诊断结果以及既往手术对患有先天性心脏病并接受心脏移植的儿童和成人的影响。
J Am Coll Cardiol. 2009 Jul 7;54(2):160-5. doi: 10.1016/j.jacc.2009.04.020.
7
Chest wall anomalies: pectus excavatum and pectus carinatum.胸壁畸形:漏斗胸和鸡胸。
Adolesc Med Clin. 2004 Oct;15(3):455-71. doi: 10.1016/j.admecli.2004.06.002.