冠心病合并室壁瘤的HYBRID手术治疗

张建卿    肖明第   程云阁   王强   王吉祥   张学勤   王连才   钟森  MAIZA作者单位:2002

正文

张建卿    肖明第   程云阁   王强   王吉祥   张学勤   王连才   钟森  MAIZA

作者单位:200235   上海市,上海远大心胸医院心外科(张建卿、肖明第、程云阁、王强、王吉祥、张学勤、王连才、钟森);   CHU DE CAEN FRANCE (MAIZA)

 

Hybrid Treatment with Stent and VATS to CAD with Ventricular Aneurysm

 

ZHANG Jianqing, XIAO Mingdi,

CHENG Yunge, WANG Qiang,

WANG Jixiang, ZHANG Xueqin,

WANG Liancai, ZHONG Sen

 

Department of Cardiac Surgery , Shanghai Yodak Cardio Thoracic Hospital, Shanghai 200235, China; CHU DE CAEN FRANCE (MAIZA).

 

【Abstract】Objective          To study hybrid VATS and stent angioplasty in patients with aneurysm of coronary heart disease. Methods              After successful stent revascularization, 15 cases of CAD patients with left ventricular aneurysm underwent the video assisted mini invasive surgery supported by the peripheral cardiopulmonary bypass. The size of aneurysm, EF and LVESVI before and after operation were studied. Result           The two groups both have improved in cardiac function (P瓣膜病变,心功能有了比较明显的提高。见表1。

 

2                        Result

Hybrid operation group’s extracorporeal circulation time is 32~73 (48.53+21.51) min, in one case of ventricular fibrillation sinus rhythm restored after twice 200 J defibrillation, in one other case where there was abundant post operation drainage, second operation with video-assisted thoracoscopic surgery done to explore the bleeding under the gasket, bleeding was stopped after adding the gasket stitches, there was no surgery nor the early postoperative deaths. Three months after the operation, Hybrid operation group ejection fraction (EF) valued (48.58+12.35)%, which was higher than the Stent group’s (38.15+12.57)%, P

医生推荐

医院推荐

 

高速代理IP全国工商数据库

多发性骨髓瘤,感染,糖尿病,便秘,感染,抑郁症,贫血,抽搐,脊柱侧弯,性病,。 诊疗文章网 

诊疗文章网 @ 2018