左心室辅助装置植入术联合全腔静脉肺动脉连接术用于心脏停搏患者
Left Ventricular Assist Device Implantation With Total Cavopulmonary Connection for Arrested Heart.
作者信息
Tadokoro Naoki, Iwai Shigemitsu, Tonai Kohei, Komeyama Shotaro, Komori Motoki, Tsukamoto Yasumasa, Fujita Tomoyuki, Fukushima Satsuki
机构信息
Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
Department of Pediatric Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
出版信息
Ann Thorac Surg Short Rep. 2023 Nov 22;2(1):127-130. doi: 10.1016/j.atssr.2023.11.004. eCollection 2024 Mar.
Lymphocytic fulminant myocarditis results in severe myocardial damage that is irreversible in some patients. In these patients, mechanical circulatory support, as the main treatment, is difficult. We describe a patient with a myocarditis-associated arrested heart who underwent successful left ventricular assist device implantation and extracardiac total cavopulmonary connection (EC-TCPC). EC-TCPC was chosen after fluid dynamics simulation was performed using computational fluid dynamics analysis of blood flow. In the analysis, EC-TCPC was compared with the Glenn procedure and the classic Fontan procedure; EC-TCPC had the best performance.
淋巴细胞性暴发性心肌炎会导致严重的心肌损伤，在一些患者中这种损伤是不可逆的。对于这些患者，作为主要治疗手段的机械循环支持很困难。我们描述了一名患有心肌炎相关心脏骤停的患者，该患者成功接受了左心室辅助装置植入和心外全腔静脉肺动脉连接术（EC-TCPC）。在使用血流计算流体动力学分析进行流体动力学模拟后，选择了EC-TCPC。在分析中，将EC-TCPC与格林手术和经典的Fontan手术进行了比较；EC-TCPC表现最佳。
Zotero 插件