结扎后左心耳术中反转
Intraoperative Inversion of the Left Atrial Appendage Following Ligation.
作者信息
Kaletka Kyle, Ewing Kristen, Cardonell Bradford L
机构信息
University of Missouri School of Medicine, Columbia, Missouri.
Department of Anesthesiology and Perioperative Medicine, University of Missouri, Columbia, Missouri.
出版信息
CASE (Phila). 2023 Apr 4;7(6):233-237. doi: 10.1016/j.case.2023.02.003. eCollection 2023 Jun.
Abstract
• Intraoperative TEE improves the diagnosis of LAA inversion. • Excess negative pressure causes inversion at predictable points in cardiac surgery. • Structural characteristics of the LAA may influence inversion susceptibility. • Ligation has been used to manage LAA inversion but may actually cause inversion. • This may occur from altering the structural characteristics and shortening the LAA.
摘要
• 术中经食管超声心动图（TEE）可改善左心耳反转的诊断。
• 过大的负压会在心脏手术的可预测部位导致反转。
• 左心耳的结构特征可能影响反转易感性。
• 结扎术已被用于处理左心耳反转，但实际上可能导致反转。
• 这可能是由于改变了结构特征并缩短了左心耳而发生的。
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