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心脏直视手术后左心室衰竭的临时机械支持。

Temporary mechanical support of left ventricular failure following open heart surgery.

作者信息

Litwak R S, Lukban S B, Jurado R A, Koffsky R M, Ortiz A F, grana V P, Fischer A P, Sherman J

出版信息

Adv Cardiol. 1977;20:102-9. doi: 10.1159/000399858.

DOI:10.1159/000399858
PMID:848381
Abstract

Patients coming to open heart surgery with advanced cardiac dysfunction may require mechanical cardiac support to avoid life-threatening low cardiac output in the postoperative period. 15 patients who could not be withdrawn from cardiopulmonary bypass because of low cardiac output were supported with a left heart bypass system (left atrium to ascending aorta). Ten were ultimately separated from the device, 6 were dismissed from the hospital and 4 remain well (the longest 2.6 years postoperative). A major asset of the device is that thoracic reentry is not required when support is discontinued.

摘要

患有晚期心脏功能障碍并接受心脏直视手术的患者可能需要机械心脏支持,以避免术后出现危及生命的低心输出量情况。15名因低心输出量而无法脱离体外循环的患者接受了左心旁路系统(左心房至升主动脉)的支持。其中10人最终脱离了该装置,6人出院,4人情况良好(术后最长2.6年)。该装置的一个主要优点是,在停止支持时不需要再次打开胸腔。

相似文献

1
Temporary mechanical support of left ventricular failure following open heart surgery.心脏直视手术后左心室衰竭的临时机械支持。
Adv Cardiol. 1977;20:102-9. doi: 10.1159/000399858.
2
Postcardiotomy low cardiac output clinical experience with a left heart assist device.心脏术后低心排血量:左心辅助装置的临床经验
Circulation. 1976 Dec;54(6 Suppl):III102-7.
3
Ventricular-assist pumping in patients with cardiogenic shock after cardiac operations.心脏手术后心源性休克患者的心室辅助泵血
N Engl J Med. 1981 Dec 31;305(27):1606-10. doi: 10.1056/NEJM198112313052702.
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Use of a left heart assist device after intracardiac surgery: technique and clinical experience.心脏内手术后左心辅助装置的应用:技术与临床经验
Ann Thorac Surg. 1976 Mar;21(3):191-202. doi: 10.1016/s0003-4975(10)64291-9.
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Left heart assist device: early clinical experiences with management of postperfusion low cardiac output.左心辅助装置:灌注后低心输出量管理的早期临床经验
Anesth Analg. 1977 May-Jun;56(3):402-8. doi: 10.1213/00000539-197705000-00018.
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Experimental and clinical ventricular bypass during acute heart failure.急性心力衰竭期间的实验性和临床心室旁路
Artif Organs. 1982 Aug;6(3):299-302. doi: 10.1111/j.1525-1594.1982.tb01676.x.
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Temporary left ventricular bypass: factors affecting patient survival.
Circulation. 1979 Aug;60(2 Pt 2):131-41. doi: 10.1161/01.cir.60.2.131.
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Intraoperative unidirectional intra-aortic balloon pumping in the management of left ventricular power failure.
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[Assisted circulation after open heart surgery. Temporary, closed-chest ventricular bypass].[心脏直视手术后的辅助循环。临时性、闭式胸内心室旁路]
Tidsskr Nor Laegeforen. 1987 Sep 10;107(25):2117-20.

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