AN ALTERNATIVE SURGICAL TECHNIQUE IN ORTHOTOPIC CARDIAC TRANSPLANTATION

被引：82

作者：

SARSAM, MAI

CAMPBELL, CS

YONAN, NA

DEIRANIYA, AK

RAHMAN, AN

机构：

[1] Department of Cardiothoracic Surgery, Wythenshawe Hospital, Manchester

来源：

JOURNAL OF CARDIAC SURGERY | 1993年 / 8卷 / 03期

关键词：

D O I：

10.1111/j.1540-8191.1993.tb00375.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Forty patients underwent orthotopic cardiac transplantation at Wythenshawe Hospital between May 1991 and November 1992. Twenty patients had transplantation using an alternative technique that preserves the shape of the left atrium and leaves the right atrium intact (group A). The remaining twenty had conventional transplantation using the technique described by Lower and Shumway (group B). The patients were randomized to either the new or the conventional technique on an alternate basis. There was no mortality in group A, but two patients in group B developed right ventricular failure and died. Two patients in each group developed nodal rhythm and all four recovered sinus rhythm. Echocardiography and Doppler velocimetry at the transvalvular level confirmed normal atrial function in group A with erratic atrial contraction wave in group B. There was also slightly lower incidence of mitral and tricuspid valve regurgitation in group A than in group B. The improved atrial function in group A may play a part in the prevention of right sided failure following cardiac transplantation.

引用

页码：344 / 349

页数：6

共 9 条

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