一名患有持续性左上腔静脉和右上腔静脉闭锁的扩张型心肌病患者的原位心脏移植。
Orthotopic heart transplantation for dilated cardiomyopathy in a patient with persistent left superior vena cava and atresia of the right superior vena cava.
作者信息
Argüero R, Careaga G, Castano R, Garrido M, Sanchez O
机构信息
Hospital for Cardiology, Centro Medico Nacional Siglo XXI, IMSS, México D.F., Mexico.
出版信息
J Cardiovasc Surg (Torino). 1997 Aug;38(4):403-5.
OBJECTIVE
To describe the surgical procedure of an orthotopic heart transplantation in a recipient with persistent left superior vena cava and atresia of right superior vena cava.
EXPERIMENTAL DESIGN
Case report.
PATIENT
A 43 year old male with persistent left superior vena cava, atresia of the right superior vena cava and dilated cardiomyopathy.
INTERVENTIONS
Orthotopic heart transplantation with selective cannulation of the left superior vena cava via recipient coronary sinus for cardiopulmonary bypass.
RESULTS
No perioperative complications, satisfactory postoperative course. No rejection episodes at 7 months postoperative with non invasive procedure surveillance.
CONCLUSION
Technique described to preserve left superior vena cava is a useful alternative for this patient with no surgical complications.
目的
描述在一名存在永存左上腔静脉及右上腔静脉闭锁的受者中进行原位心脏移植的手术过程。
实验设计
病例报告。
患者
一名43岁男性，患有永存左上腔静脉、右上腔静脉闭锁及扩张型心肌病。
干预措施
通过受者冠状窦选择性插管永存左上腔静脉进行体外循环的原位心脏移植。
结果
围手术期无并发症，术后过程满意。术后7个月采用非侵入性检查监测未发生排斥反应。
结论
所描述的保留左上腔静脉的技术对于该患者是一种有用的选择，且无手术并发症。
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