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通过左前外侧胸廓切开术的微创方法对跳动心脏上的左心室进行几何重建:病例报告

Geometric reconstruction of the left ventricle on a beating heart through a minimally invasive approach from the left anterolateral thoracotomy: case report.

作者信息

Aigumov R N, Donakanyan S A, Merzlyakov V Yu, Skopin A I, Baichurin R K, Panagov Z G, Sizhazhev E M, Shvartz V A, Golukhova E Z

机构信息

Bakulev Scientific Center for Cardiovascular Surgery, Moscow, Russia.

出版信息

Front Cardiovasc Med. 2024 Dec 4;11:1507222. doi: 10.3389/fcvm.2024.1507222. eCollection 2024.

Abstract

Despite the widespread use of mini-invasive treatment methods in cardiac surgery, their use in post-infarction myocardial aneurysms of the left ventricle is not of frequent occurrence. In this clinical case, we used left anterolateral thoracotomy and "eating heart" technique to correct the post-infarction left ventricle aneurysm with ventricular thrombosis using the Dor method in a 66-year-old patient. This technique created opportunity to perform safely and effective the planned reconstruction of the left ventricle with less trauma, as well as to ease the postoperative course and recovery of the patient, reduce hospitalization time.

摘要

尽管微创治疗方法在心脏外科手术中广泛应用,但在左心室心肌梗死后室壁瘤的治疗中却并不常用。在本临床病例中,我们对一名66岁患者采用左前外侧开胸及“蚕食心脏”技术,运用Dor法矫正左心室心肌梗死后室壁瘤合并心室血栓。该技术为安全、有效地进行左心室重建创造了机会,减少了创伤,同时缓解了患者的术后病程及恢复情况,缩短了住院时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10c2/11652513/81f09307a2fa/fcvm-11-1507222-g001.jpg

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