Kawazoe K, Beppu S, Takahara Y, Nakajima N, Tanaka K, Ichihashi K, Fujita T, Manabe H
J Thorac Cardiovasc Surg. 1983 Jun;85(6):885-92.
Giant left atrium associated with mitral valvular disease frequently produce postoperative problems with regard to hemodynamical and respiratory management. A new procedure of para-annular and superior plication combined with the conventional right-side plication with trimming of the left atrial wall was devised to relieve compression induced by the giant left atrium. A total of 40 patients with giant left atrium underwent operation. Ten had the valvular procedure only and 30 had the valvular and plication procedures. The plication procedure resulted in a significant decrease in the incidence of low-output syndrome and respiratory failure postoperatively, as well as a marked decrease in mortality. We conclude that the plication procedure is an effective means of relieving compression in the presence of giant left atrium.
与二尖瓣疾病相关的巨大左心房常常会在术后的血流动力学和呼吸管理方面产生问题。我们设计了一种新的手术方法，即瓣环旁和上折叠术结合传统的右侧折叠术并修剪左心房壁，以缓解巨大左心房引起的压迫。共有40例巨大左心房患者接受了手术。其中10例仅进行了瓣膜手术，30例进行了瓣膜和折叠手术。折叠手术使术后低心排血量综合征和呼吸衰竭的发生率显著降低，同时死亡率也明显下降。我们得出结论，折叠手术是缓解巨大左心房压迫的有效方法。
