使用主动脉内夹在微创瓣膜手术中对跳动心脏进行左心耳封堵：一例报告

Suleiman Mathieu N, Kaemmerer Ann-Sophie, Fechner Jörg, Nooh Ehab, Weyand Michael, Heim Christian

Department of Cardiac Surgery, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, 91054 Erlangen, Germany.

Department of Anesthesiology, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, 91054 Erlangen, Germany.

J Clin Med. 2023 Sep 30;12(19):6325. doi: 10.3390/jcm12196325.

Concomitant LAA occlusion has been shown to be an effective and safe treatment for patients with atrial fibrillation during cardiac surgery to prevent embolic stroke. Minimally invasive procedures are challenging due to restricted access to and visibility of the surgical site. Also, aortic endoclamping has been developed as an alternative surgical approach to exoclamping. The aim of this article is to demonstrate the method of beating heart LAA occlusion with the Atriclip (AtriCure, Mason, OH, USA) device during minimally invasive mitral valve surgery while using the endoclamping alternative for aortic cross-clamping.

在心脏手术期间，同期行左心耳封堵术已被证明是一种治疗心房颤动患者预防栓塞性卒中的有效且安全的方法。由于手术部位的操作空间受限和可视性差，微创手术具有挑战性。此外，主动脉内阻断术已被开发为一种替代主动脉外阻断的手术方法。本文的目的是演示在微创二尖瓣手术期间，使用Atriclip（美国俄亥俄州梅森市AtriCure公司）装置在心脏跳动下进行左心耳封堵的方法，同时使用内阻断替代主动脉交叉阻断。