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使用部分人工心脏(辅助左心室辅助装置)对心脏术后石心综合征患者的循环进行全面支持5天,随后进行心脏和肾脏移植。

Total support of the circulation of a patient with post-cardiotomy stone-heart syndrome by a partial artificial heart (ALVAD) for 5 days followed by heart and kidney transplantation.

作者信息

Norman J C, Brook M I, Cooley D A, Klima T, Kahan B D, Frazier O H, Keats A S, Hacker J, Massin E K, Duncan J M, Solis R T, Dacso C C, Luper W E, Winston D S, Reul G J

出版信息

Lancet. 1978 May 27;1(8074):1125-7. doi: 10.1016/s0140-6736(78)90301-x.

DOI:10.1016/s0140-6736(78)90301-x
PMID:77417
Abstract

A patient with acute bacterial endocarditis in whom ischaemic contracture of the left ventricle (stone-heart syndrome) developed during aortic and mitral valve replacement had an emergency implantation of an intracorporeal partial artificial heart (an abdominal left-ventricular assist device of ALVAD). This device functioned as a total artificial heart for nearly 6 days, while a donor heart for transplantation was sought. The ALVAD was then removed, and the patient received allografts of a heart and a kidney. The transplanted heart functioned well, but the patient died 15 days later from gram-negative sepsis. There was no evidence of cardiac or renal allograft rejection.

摘要

一名患有急性细菌性心内膜炎的患者,在进行主动脉瓣和二尖瓣置换术期间发生了左心室缺血性挛缩(石心综合征),紧急植入了体内部分人工心脏(腹部左心室辅助装置,ALVAD)。该装置作为全人工心脏运行了近6天,同时寻找供体心脏进行移植。然后移除了ALVAD,患者接受了心脏和肾脏的同种异体移植。移植的心脏功能良好,但患者在15天后死于革兰氏阴性菌败血症。没有心脏或肾脏同种异体移植排斥的证据。

相似文献

1
Total support of the circulation of a patient with post-cardiotomy stone-heart syndrome by a partial artificial heart (ALVAD) for 5 days followed by heart and kidney transplantation.使用部分人工心脏(辅助左心室辅助装置)对心脏术后石心综合征患者的循环进行全面支持5天,随后进行心脏和肾脏移植。
Lancet. 1978 May 27;1(8074):1125-7. doi: 10.1016/s0140-6736(78)90301-x.
2
Partial artificial heart (ALVAD) use with subsequent cardiac and renal allografting in a patient with stone heart syndrome.部分人工心脏(ALVAD)在一名患有石心综合征患者中的应用及随后的心脏和肾脏同种异体移植。
Artif Organs. 1978 Nov;2(4):413-20. doi: 10.1111/j.1525-1594.1978.tb01632.x.
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Determinants for increased resource utilization after surgery for prosthetic valve endocarditis.人工瓣膜心内膜炎手术后资源利用增加的决定因素。
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Staged cardiac transplantation. Total artificial heart or ventricular-assist pump?分期心脏移植。全人工心脏还是心室辅助泵?
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Unrecognized pre-transplant disseminated Coxiella burnetti infection diagnosed in a post-transplant heart-kidney recipient.一名心脏-肾脏移植受者在移植后被诊断出患有移植前未被识别的播散性伯氏考克斯体感染。
Transpl Infect Dis. 2018 Oct;20(5):e12962. doi: 10.1111/tid.12962. Epub 2018 Jul 20.
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Intracorporeal (abdominal) left ventricular assist devices or partial artificial hearts: A five-year clinical experience.体内(腹腔内)左心室辅助装置或部分人工心脏:五年临床经验。
Arch Surg. 1981 Nov;116(11):1441-5. doi: 10.1001/archsurg.1981.01380230059009.
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[Possibilities of using cardiovascular assist systems and the artificial heart].
Z Gesamte Inn Med. 1986 May 15;41(10):286-90.
8
ULTRASTRUCTURAL ANALYSES OF STONE HEART SYNDROME AT ONSET AND SIX DAYS LATER FOLLOWING TOTAL SUPPORT OF THE CIRCULATION WITH A PARTIAL ARTIFICIAL HEART OR LEFT VENTRICULAR ASSIST DEVICE (ALVAD).使用部分人工心脏或左心室辅助装置(ALVAD)对循环进行完全支持后,对石心综合征发病时及六天后进行的超微结构分析。
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Successful management of right ventricular failure with the ventricular assist pump following aortic valve replacement and coronary bypass grafting.主动脉瓣置换术和冠状动脉搭桥术后使用心室辅助泵成功治疗右心室衰竭。
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Aortic and mitral valve surgery on the beating heart is lowering cardiopulmonary bypass and aortic cross clamp time.心脏不停跳下的主动脉瓣和二尖瓣手术正在缩短体外循环和主动脉阻断时间。
Heart Surg Forum. 2002;5(2):182-6.

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Am J Transplant. 2021 Jul;21(7):2468-2478. doi: 10.1111/ajt.16466. Epub 2021 Feb 9.
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Longitudinal changes in kidney function following heart transplantation: Stanford experience.心脏移植后肾功能的纵向变化:斯坦福经验。
Clin Transplant. 2018 Nov;32(11):e13414. doi: 10.1111/ctr.13414. Epub 2018 Oct 25.
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