Shuwei Wang, B. Zhou, Yong Cui, Zhifang Liu, Changhao Wu, F. Mei, Zhi-Bin Hu
{"title":"电视胸腔镜下室间隔肌切除术治疗肥厚性梗阻性心肌病4例","authors":"Shuwei Wang, B. Zhou, Yong Cui, Zhifang Liu, Changhao Wu, F. Mei, Zhi-Bin Hu","doi":"10.3760/CMA.J.ISSN.1001-4497.2020.02.008","DOIUrl":null,"url":null,"abstract":"回顾性分析2016年11月至2019年5月在本院收治的4例肥厚型梗阻性心肌病(HOCM)合并二尖瓣关闭不全患者的临床资料。患者均接受胸腔镜辅助下经右侧腋下小切口(5 cm)手术，股动静脉插管建立体外循环，经左心房和二尖瓣前叶基部切口行胸腔镜辅助下室间隔心肌切除术(SM)并二尖瓣成形术。全组患者均顺利完成手术，无术后心力衰竭、恶性心律失常和低氧血症等并发症。术后经胸超声心动图随访结果提示左心室流出道梗阻解除满意，二尖瓣闭合功能良好。随访期内无需要再次手术干预的患者。胸腔镜辅助右腋下小切口治疗HOCM是安全可行的，可以为解除左心室流出道梗阻和二尖瓣及瓣下装置的异常提供良好的手术视野。","PeriodicalId":10181,"journal":{"name":"Chinese Journal of Thoracic and Cardiovaescular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Video-assisted thoracoscopic septal myectomy for hypertrophic obstructive cardiomyopathy in 4 cases\",\"authors\":\"Shuwei Wang, B. Zhou, Yong Cui, Zhifang Liu, Changhao Wu, F. Mei, Zhi-Bin Hu\",\"doi\":\"10.3760/CMA.J.ISSN.1001-4497.2020.02.008\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"回顾性分析2016年11月至2019年5月在本院收治的4例肥厚型梗阻性心肌病(HOCM)合并二尖瓣关闭不全患者的临床资料。患者均接受胸腔镜辅助下经右侧腋下小切口(5 cm)手术，股动静脉插管建立体外循环，经左心房和二尖瓣前叶基部切口行胸腔镜辅助下室间隔心肌切除术(SM)并二尖瓣成形术。全组患者均顺利完成手术，无术后心力衰竭、恶性心律失常和低氧血症等并发症。术后经胸超声心动图随访结果提示左心室流出道梗阻解除满意，二尖瓣闭合功能良好。随访期内无需要再次手术干预的患者。胸腔镜辅助右腋下小切口治疗HOCM是安全可行的，可以为解除左心室流出道梗阻和二尖瓣及瓣下装置的异常提供良好的手术视野。\",\"PeriodicalId\":10181,\"journal\":{\"name\":\"Chinese Journal of Thoracic and Cardiovaescular Surgery\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2020-02-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Chinese Journal of Thoracic and Cardiovaescular Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.1001-4497.2020.02.008\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Chinese Journal of Thoracic and Cardiovaescular Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1001-4497.2020.02.008","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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