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作为肺移植桥梁的外科右肺动脉-左心房分流术的围手术期超声心动图管理

Perioperative Echocardiographic Management of a Surgical Right Pulmonary Artery-Left Atrial Shunt as a Bridge to Lung Transplantation.

作者信息

Han Jeong W, Peer Syed B, Loor Gabriel, Shafii Alexis, Díaz-Gómez José L

机构信息

Division of Cardiovascular Anesthesia and Critical Care Medicine, Department of Anesthesiology, Baylor College of Medicine, Houston, Texas.

Division of Cardiothoracic Transplantation and Mechanical Circulatory Support, Department of Surgery, Baylor College of Medicine, Houston, Texas.

出版信息

CASE (Phila). 2025 Apr 1;9(6):187-193. doi: 10.1016/j.case.2025.02.003. eCollection 2025 Jun.

DOI:10.1016/j.case.2025.02.003
PMID:40583872
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12198111/
Abstract

• PA-LA shunts may support complex PH. • Echocardiography can confirm shunt patency and map right ventricular recovery. • Cardiac POCUS and consultative echocardiography imaging are naturally complementary.

摘要

• 肺动静脉分流可能支持复杂的肺动脉高压。

• 超声心动图可确认分流的通畅性并描绘右心室恢复情况。

• 床旁心脏超声检查和会诊超声心动图成像自然互补。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7518/12198111/08399db1efb6/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7518/12198111/a5c5c4b60c03/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7518/12198111/35e8fd573111/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7518/12198111/98d1a002905a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7518/12198111/49404b88c5a3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7518/12198111/7d99b6a06252/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7518/12198111/14ea2485e33a/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7518/12198111/08399db1efb6/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7518/12198111/a5c5c4b60c03/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7518/12198111/35e8fd573111/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7518/12198111/98d1a002905a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7518/12198111/49404b88c5a3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7518/12198111/7d99b6a06252/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7518/12198111/14ea2485e33a/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7518/12198111/08399db1efb6/gr6.jpg

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本文引用的文献

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Recommendations for Cardiac Point-of-Care Ultrasound Nomenclature.心脏床旁超声命名法建议
J Am Soc Echocardiogr. 2024 Jul 11. doi: 10.1016/j.echo.2024.05.001.
2
Surgical right pulmonary artery to left atrial shunt for severe pulmonary hypertension and bridge to lung transplantation.手术行右肺动脉至左心房分流术治疗重度肺动脉高压并作为肺移植的过渡手段。
JTCVS Tech. 2023 Dec 9;23:178-181. doi: 10.1016/j.xjtc.2023.12.001. eCollection 2024 Feb.
3
Lung transplantation for pulmonary hypertension.用于治疗肺动脉高压的肺移植
J Thorac Dis. 2021 Nov;13(11):6708-6716. doi: 10.21037/jtd-2021-20.
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Pulmonary Arterial Hypertension.肺动脉高压
N Engl J Med. 2021 Dec 16;385(25):2361-2376. doi: 10.1056/NEJMra2000348.
5
Point-of-Care Ultrasonography.即时超声检查
N Engl J Med. 2021 Oct 21;385(17):1593-1602. doi: 10.1056/NEJMra1916062.
6
Improvement in exercise capacity after a modified Potts shunt in an adult patient with pulmonary arterial hypertension.一名成年肺动脉高压患者行改良Potts分流术后运动能力的改善。
ERJ Open Res. 2021 Oct 4;7(4). doi: 10.1183/23120541.00287-2021. eCollection 2021 Oct.
7
Potts shunt as an effective palliation for patients with end stage pulmonary arterial hypertension.波特氏分流术作为晚期肺动脉高压患者的有效姑息治疗方法。
Indian Heart J. 2021 Mar-Apr;73(2):196-204. doi: 10.1016/j.ihj.2021.01.007. Epub 2021 Jan 6.
8
Beyond transplant: Roles of atrial septostomy and Potts shunt in pediatric pulmonary hypertension.超越移植：房间隔造口术和波特分流术在儿科肺动脉高压中的作用。
Pediatr Pulmonol. 2021 Mar;56(3):656-660. doi: 10.1002/ppul.25049. Epub 2020 Sep 11.
9
Echocardiographic assessment of pulmonary hypertension: a guideline protocol from the British Society of Echocardiography.肺动脉高压的超声心动图评估：英国超声心动图学会的指南方案
Echo Res Pract. 2018 Sep;5(3):G11-G24. doi: 10.1530/ERP-17-0071.
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Modified Potts Shunt in an Adult with Idiopathic Pulmonary Arterial Hypertension.成人特发性肺动脉高压患者的改良Potts分流术
Ann Am Thorac Soc. 2017 Apr;14(4):607-609. doi: 10.1513/AnnalsATS.201701-057LE.