Surgical treatment of giant left atrium combined with mitral valvular disease. Plication procedure for reduction of compression to the left ventricle, bronchus, and pulmonary parenchyma.
Surgical treatment of giant left atrium combined with mitral valvular disease. Plication procedure for reduction of compression to the left ventricle, bronchus, and pulmonary parenchyma.
复制标题
巨大左心房合并二尖瓣病变的手术治疗。
DOI：
10.1016/s0022-5223(19)37479-3
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发表时间：
1983
期刊：
影响因子：
--
通讯作者：
H. Manabe
中科院分区：
文献类型：
--
作者：
K. Kawazoe;S. Beppu;Y. Takahara;N. Nakajima;K. Tanaka;K. Ichihashi;T. Fujita;H. Manabe
二尖瓣病变合并巨大左心房，术后常发生血流动力学和呼吸管理方面的问题。我们设计了一种新的手术方法，即环旁和上级折叠术结合传统的右侧折叠术，并修剪左心房壁，以减轻巨大左心房引起的压迫。对40例巨大左心房患者行手术治疗。10例仅接受瓣膜手术，30例接受瓣膜和折叠手术。折叠手术导致术后低排血量综合征和呼吸衰竭的发生率显著降低，死亡率也显著降低。我们的结论是，折叠手术是一种有效的手段，解除压迫的存在巨大左心房。
Giant left atrium associated with mitral valvular disease frequently produce postoperative problems with regard to hemodynamical and respiratory management. A new procedure of para-annular and superior plication combined with the conventional right-side plication with trimming of the left atrial wall was devised to relieve compression induced by the giant left atrium. A total of 40 patients with giant left atrium underwent operation. Ten had the valvular procedure only and 30 had the valvular and plication procedures. The plication procedure resulted in a significant decrease in the incidence of low-output syndrome and respiratory failure postoperatively, as well as a marked decrease in mortality. We conclude that the plication procedure is an effective means of relieving compression in the presence of giant left atrium.