Hosseinpour Amir-Reza, González-Calle Antonio, Stümper Oliver, Barron David J
Cardiac Surgery Service, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.
Cardiac Surgery Service, University Hospitals of Seville, Seville, Spain.
Interdiscip Cardiovasc Thorac Surg. 2024 Dec 25;40(1). doi: 10.1093/icvts/ivae216.
A small atrial septal defect with right-to-left shunt is useful for off-loading a dysfunctional right ventricle postoperatively. However, an atrial septal defect with left-to-right shunt may not be as useful for a dysfunctional left ventricle. Experimental data are limited at present. Thus, we reconsider the related physiology to guide future approach.
伴有右向左分流的小型房间隔缺损有助于术后减轻功能失调的右心室的负荷。然而,伴有左向右分流的房间隔缺损对功能失调的左心室可能没有那么有用。目前实验数据有限。因此,我们重新审视相关生理学知识以指导未来的治疗方法。