Hegeman Romy Roosmarijn Maria Jacqueline Josepha, Swaans Martin John, van Kuijk Jan-Peter, Klein Patrick
Department of Cardiothoracic Surgery, Sint Antonius Hospital Nieuwegein, 3435 CM Nieuwegein, The Netherlands.
Department of Cardiology, Sint Antonius Hospital Nieuwegein, 3435 CM Nieuwegein, The Netherlands.
J Clin Med. 2022 Aug 18;11(16):4831. doi: 10.3390/jcm11164831.
Negative left ventricular (LV) remodeling consequent to acute myocardial infarction (AMI) is characterized by an increase in LV volumes in the presence of a depressed LVEF. In order to restore the shape, size, and function of the LV, operative treatment options to achieve volume reduction and shape reconstruction should be considered. In the past decade, conventional surgical LV reconstruction through a full median sternotomy has evolved towards a hybrid transcatheter and less invasive LV reconstruction. In order to perform a safe and effective hybrid LV reconstruction, thorough knowledge of the technical considerations and adequate use of multimodality imaging both pre- and intraoperatively are fundamental. In addition, a comprehensive understanding of the individual procedural steps from both a cardiological and surgical point of view is required.
急性心肌梗死（AMI）后左心室（LV）负性重构的特征是在左心室射血分数（LVEF）降低的情况下左心室容积增加。为了恢复左心室的形状、大小和功能，应考虑采用手术治疗方案来实现容积减小和形状重建。在过去十年中，通过全胸骨正中切口进行的传统外科左心室重建已朝着杂交经导管和侵入性较小的左心室重建发展。为了进行安全有效的杂交左心室重建，术前和术中对技术要点的全面了解以及多模态成像的充分应用至关重要。此外，还需要从心脏病学和外科角度对各个手术步骤有全面的理解。
