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病例报告：通过修复房室瓣和使用带隧道涤纶移植物植入右心室辅助装置促进长期左心室辅助装置植入后右心恢复。

Case report: Facilitating right heart recovery after durable LVAD implantation through repair of atrioventricular valves and RVAD implantation using tunneled Dacron grafts.

作者信息

Jones-Ungerleider K Candis, Raza Syed Sikandar, Tang Paul C

机构信息

Department of Cardiac Surgery, University of Michigan Frankel Cardiovascular Center, Ann Arbor, MI, United States.

Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN, United States.

出版信息

Front Cardiovasc Med. 2023 Sep 7;10:1251837. doi: 10.3389/fcvm.2023.1251837. eCollection 2023.

DOI:10.3389/fcvm.2023.1251837
PMID:37745116
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10517048/
Abstract

Right ventricular assist device (RVAD) weaning is often an important goal for durable left ventricular assist device support. This may be facilitated by mitral and tricuspid repair as well as by minimizing the trauma of RVAD decannulation by using Dacron grafts.

摘要

右心室辅助装置（RVAD）撤机通常是长期左心室辅助装置支持的一个重要目标。二尖瓣和三尖瓣修复以及使用涤纶补片使RVAD拔管创伤最小化可能有助于实现这一目标。

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本文引用的文献

1
The 2023 International Society for Heart and Lung Transplantation Guidelines for Mechanical Circulatory Support: A 10- Year Update.《2023年国际心肺移植学会机械循环支持指南：十年更新》
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Tricuspid surgery at the time of LVAD implant: A critique.左心室辅助装置植入时的三尖瓣手术：一项批判性分析。
Front Cardiovasc Med. 2022 Nov 21;9:1056414. doi: 10.3389/fcvm.2022.1056414. eCollection 2022.
3
Role of the mitral valve in left ventricular assist device pathophysiology.
二尖瓣在左心室辅助装置病理生理学中的作用。
Front Cardiovasc Med. 2022 Oct 28;9:1018295. doi: 10.3389/fcvm.2022.1018295. eCollection 2022.
4
Association between postoperative hemodynamic metrics of pulmonary hypertension and right ventricular dysfunction and clinical outcomes after left ventricular assist device implantation.肺动脉高压术后血流动力学指标与左心室辅助装置植入后右心室功能障碍及临床结局的关系。
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5
Residual mitral regurgitation in patients with left ventricular assist device support - An INTERMACS analysis.左心室辅助装置支持患者的残余二尖瓣反流 - INTERMACS 分析。
J Heart Lung Transplant. 2022 Nov;41(11):1638-1645. doi: 10.1016/j.healun.2022.03.002. Epub 2022 Mar 5.
6
Natural History and Prognosis of Patients with Unrepaired Tricuspid Regurgitation Undergoing Implantation of Left Ventricular Assist Device.未修复三尖瓣反流患者植入左心室辅助装置的自然史和预后。
ASAIO J. 2022 Apr 1;68(4):508-515. doi: 10.1097/MAT.0000000000001521.
7
Right ventricular failure after left ventricular assist device implantation: a review of the literature.左心室辅助装置植入术后的右心室衰竭：文献综述
J Thorac Dis. 2021 Feb;13(2):1256-1269. doi: 10.21037/jtd-20-2228.
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JACC Heart Fail. 2020 Feb;8(2):141-150. doi: 10.1016/j.jchf.2019.08.016. Epub 2019 Dec 11.
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