李波 1王辉山 1方敏华 1韩宏光 1王镇龙 1李晓密1
作者信息
- 1. 解放军沈阳军区总医院心血管外科，辽宁省沈阳市 110083
- 折叠
摘要
Abstract
BACKGROUND:Terylene mesh has been routinely used for cardiac surgery because of its thin texture, light weight and good biocompatibility, but in recent years, we have found that ventricular septal defect repaired with terylene mesh can cause postoperative residual leakage which is prone to cause hemolysis, bacterial or fungal infection. <br> OBJECTIVE:To explore the effect of bovine pericardium patch in repairing of congenital heart septal defect. <br> METHODS:A total of 152 cases of heart septal defects were treated with glutaraldehyde-fixed bovine pericardium patch, including 56 cases of atrial septal defect, 78 cases of ventricular septal defect, 18 cases of partialatrioventricular septal defect., The early il ness status, hemodynamic and cardiac functions were observed by re-examining electrocardiogram, chest radiography, cardiac ultrasound and laboratory examination after surgery. <br> RESULTS AND CONCLUSION:Al the 152 cases received the repair surgery without postoperative death, and the patients were fol owed-up for 2-6 months. No bleeding, hemolysis, thrombus, infection or rejection were observed when using the bovine pericardium patch and at early postoperative period. There was only one patient with pulmonary hypertension caused hypertensive crisis on the first postoperative day and recovered after the emergency treatment. Re-examining electrocardiogram, chest radiography and cardiac ultrasound showed the heart septal defects were repaired completely without residual shunt, the pulmonary artery pressure was decreased significantly, the valve was closed without shunt, the cardiac function was in the normal level. The results indicate that bovine pericardium patch can repair heart septal defects effectively, improve the hemodynamics and cardiac function with satisfactory short-term effect, it is a favorable material used for repairing the heart septal defects.关键词
器官移植/器官移植临床实践/牛心包补片/心脏间隔缺损/修复/房间隔缺损/室间隔缺损/房室间隔缺损Key words
organ transplantation/clinical practice in organ transplantation/bovine pericardium patch/heart septal defects/repair/atrial septal defect/ventricular septal defect/atrioventricular septal defect分类
医药卫生
