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冠状动脉搭桥手术和心脏移植术后双心室衰竭的机械辅助

Mechanical assistance for biventricular failure following coronary bypass operation and heart transplantation.

作者信息

Zumbro G L, Shearer G, Kitchens W R, Galloway R F

出版信息

J Heart Transplant. 1985 May;4(3):348-52.

PMID:3916506
Abstract

From September 1983 to March 1985, five patients who could not be weaned from extracorporeal circulation or who deteriorated in the recovery room have been treated with biventricular mechanical support using two vortex pumps, standard cannulas and tubing. One patient was supported for six hours following heart transplantation and acute graft failure until another donor heart could be found. Intraaortic balloon pumping was utilized in each patient to augment the circulation and produce pulsatile flow. Four of the five patients were weaned from the device. Only one patient is currently a long-term survivor. Although long-term survival has been low, the ability of the myocardium to recover was impressive and warrants the efforts at assisting the heart in biventricular failure.

摘要

1983年9月至1985年3月,5例无法脱离体外循环或在恢复室病情恶化的患者接受了双心室机械支持治疗,使用了两台涡旋泵、标准插管和管道。1例患者在心脏移植和急性移植物功能衰竭后接受了6小时的支持,直到找到另一个供体心脏。每名患者均使用主动脉内球囊泵来增强循环并产生搏动性血流。5例患者中有4例成功撤机。目前只有1例患者长期存活。尽管长期存活率较低,但心肌恢复的能力令人印象深刻,值得为双心室衰竭患者的心脏提供辅助支持。

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Tex Heart Inst J. 1986 Mar;13(1):155-62.