四川医学2013，Vol.34Issue(4)：452-454,3.
右心房分流术在主动脉根部手术中的临床应用
Clinical application of right atrial shunt in aortic root operation
刘胜中 1黄克力 1谭今1
作者信息
- 1. 四川省医学科学院·四川省人民医院心脏外科中心,四川成都610072
- 折叠
摘要
Abstract
Objective To summarize the clinical experience of right atrial shunt in aortic root operation,and to assess its security and effectiveness.Methods A chamber around the aortic graft was created by suturing residual aortic piece or a patch of autologous pericardium for 26 patients underwent aortic root operation from January 2007 to December 2011,and then the chamber was communicated with the right atrium to drain capillary hemorrhage from the root stoma.Results The operation time was mean (248 ± 56) minutes,the cardiopulmonary bypass time was mean (126 ± 36) minutes,and the aortic cross clamp time was mean (78 ± 16) minutes.The postoperative pericardial and mediastinal drainage volume was mean (354 ± 179) milliliters at the first day,and the total postoperative drainage volume was mean (635 ±232) milliliters.The blood transfusion volume was mean (1150 ± 455) milliliters.The postoperative hospital stay was mean (11.8 ± 4.6) days.No re-thoracotomy for bleeding happened,and only 3 patients died.No blood flow from aortic root to right atrium was detected by color Doppler echocardiography examination,and thrombosis was found in the shunt passage by aortic computed tomography angiography examination before discharge.Conclusion Right atrial shunt is simple and safe.It can reduce bleeding and complications associated with bleeding effectively,and improve the clinic effect markedly in aortic root operation.It should be extended in clinic.关键词
右心房分流术/主动脉根部置换术/主动脉外科/体外循环Key words
right atrial shunt/aortic root operation/aortic surgery/cardiopulmonary bypass分类
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刘胜中,黄克力,谭今..右心房分流术在主动脉根部手术中的临床应用[J].四川医学,2013,34(4):452-454,3.
