治疗缩窄性心包炎的心包切除术与心肺搭桥术。

IF 2.6 Q2 PERIPHERAL VASCULAR DISEASE

Vascular Health and Risk Management Pub Date : 2024-02-08 eCollection Date: 2024-01-01 DOI:10.2147/VHRM.S439292

Jing-Bin Huang, Yun-Tian Tang

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引用次数: 0

摘要

目的：我们的目的是了解心包切除术治疗缩窄性心包炎的效果：这是对缩窄性心包炎心包切除术的回顾性研究：结果：心肺旁路实际上是完全解除缩窄的重要手段。结果：心肺旁路实际上是完全缓解收缩的重要手段，手术过程中增加的心肺旁路时间很短，对主手术的发病风险影响很小：结论：不完全的心包切除术可能是术后残余收缩和舒张期高充盈压导致多器官功能衰竭的原因。完全心包切除术（切除膈对膈、后外侧和下壁增厚的心包）和心肺旁路手术应成为彻底解除心脏收缩的常规方法。

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Pericardiectomy for Constrictive Pericarditis with or without Cardiopulmonary Bypass.

Aim: We aim to access the effect of pericardiectomy for constrictive pericarditis with or without cardiopulmonary bypass.

Methods: This was a review of pericardiectomy for constrictive pericarditis.

Results: Cardiopulmonary bypass is actually an important maneuver to attain complete relief of the constriction. The short additional time of cardiopulmonary bypass during the procedure has very little effect on the risk of morbidity of the main operation.

Conclusion: Incomplete pericardiectomy perhaps was the cause of postoperative remnant constriction and high diastolic filling pressure leading to multiorgan failure. Complete pericardiectomy (removal of phrenic-to-phrenic and the postero-lateral and inferior wall pericardial thickening) using cardiopulmonary bypass should be the routine for total relief of the constriction of the heart.

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来源期刊

Vascular Health and Risk Management PERIPHERAL VASCULAR DISEASE-

CiteScore

4.20

自引率

3.40%

发文量

109

审稿时长

16 weeks

期刊介绍： An international, peer-reviewed journal of therapeutics and risk management, focusing on concise rapid reporting of clinical studies on the processes involved in the maintenance of vascular health; the monitoring, prevention, and treatment of vascular disease and its sequelae; and the involvement of metabolic disorders, particularly diabetes. In addition, the journal will also seek to define drug usage in terms of ultimate uptake and acceptance by the patient and healthcare professional.