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左心室辅助装置植入术同期升主动脉置换术

Left Ventricular Assist Device Implantation with Concomitant Replacement of the Ascending Aorta.

作者信息

Bauer Sebastian Johannes, Sugimura Yukiharu, Immohr Moritz Benjamin, Mehdiani Arash, Lichtenberg Artur, Akhyari Payam

机构信息

Department of Cardiac Surgery, Heinrich Heine University Düsseldorf, Düsseldorf, Nordrhein-Westfalen, Germany.

出版信息

Thorac Cardiovasc Surg Rep. 2024 Dec 6;13(1):e37-e39. doi: 10.1055/a-2461-3284. eCollection 2024 Jan.

DOI:10.1055/a-2461-3284
PMID:39649555
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11624020/
Abstract

Dilated cardiomyopathy (DCM) is one of the main causes for end-stage heart failure. Until the transplantation, left ventricular assist devices (LVAD) have become an established treatment. We report a case of a 66-year-old patient with ischemic and DCM and suspected aortic ulcer formation. LVAD was implanted in the same session with a supracoronary aortic replacement. Bilateral cannulation of the subclavian arteries omitted the need of circulatory arrest and proximal aortic cross-clamping. Pneumonia-associated decarboxylation failure prolonged the postoperative intensive care period. The patient was finally discharged home on the 115 postoperative day.

摘要

扩张型心肌病（DCM）是终末期心力衰竭的主要原因之一。在进行心脏移植之前，左心室辅助装置（LVAD）已成为一种成熟的治疗方法。我们报告一例66岁患有缺血性和扩张型心肌病且疑似主动脉溃疡形成的患者。在同一次手术中植入LVAD并进行冠状动脉上方主动脉置换。双侧锁骨下动脉插管避免了循环骤停和近端主动脉交叉钳夹的需要。与肺炎相关的脱机失败延长了术后重症监护期。患者最终在术后第115天出院回家。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2310/11624020/1d17c96a19bc/10-1055-a-2461-3284-i1020230481crc-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2310/11624020/9638bad0f6c0/10-1055-a-2461-3284-i1020230481crc-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2310/11624020/1d17c96a19bc/10-1055-a-2461-3284-i1020230481crc-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2310/11624020/9638bad0f6c0/10-1055-a-2461-3284-i1020230481crc-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2310/11624020/1d17c96a19bc/10-1055-a-2461-3284-i1020230481crc-2.jpg

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本文引用的文献

1
Trends and Outcomes of Left Ventricular Assist Device Therapy: JACC Focus Seminar.左心室辅助装置治疗的趋势和结果：美国心脏病学会焦点研讨会。
J Am Coll Cardiol. 2022 Mar 22;79(11):1092-1107. doi: 10.1016/j.jacc.2022.01.017.
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Less Invasive Left Ventricular Assist Device Implantation With the Furoshiki Technique.采用日式包袱术行微创左心室辅助装置植入术。
Ann Thorac Surg. 2021 Jun;111(6):e451-e453. doi: 10.1016/j.athoracsur.2020.11.091. Epub 2021 Feb 22.
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Left Ventricular Assist Device Implantation Combined with Bentall Procedure.
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Effect of computed tomography before cardiac surgery on surgical strategy, mortality and stroke.心脏手术前计算机断层扫描对手术策略、死亡率和中风的影响。
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