Clinical analysis of on-pump, beating-heart intracardiac proc edures in 1 032 cases
- VernacularTitle:浅低温体外循环心脏跳动中心内直视手术1032例临床分析
- Author:
Yingbin XIAO
;
Lin CHEN
;
Xuefeng WANG
;
Qianjin ZHONG
;
Mei LIU
;
Li PENG
;
Jinjin CHEN
;
Bochen CHEN
;
Bing LIU
;
Xiaoli LIU
;
Wei HU
;
Xiangjun ZENG
- Publication Type:Journal Article
- From:Journal of Third Military Medical University
2001;23(5):502-504
- CountryChina
- Language:Chinese
-
Abstract:
Objective To improve intracardiac operation skil ls on bea-ting-heart with mild hypothermic cardiopulmonary bypass (On pump beating-heart technique), and to review the clinical experience in 1 032 c ases. Methods A total of 1 032 cases of intracardiac operatio ns on pump beating-heart from November 1997 to September 2000 were reviewed. Of them, 714 cases were congenital heart diseases (CHD), and 318 cases were valvul ar heart diseases (VHD). The technique was improved by establishing simultaneous left atrium and ventricle suction and integrating sequential de-airing procedu re. Results The operative mortality was 2.33% (24/1 032), the m ortality was 2.7% (19/714) in cases with CHD, and 1.6% (5/318) in those with VHD. There was no pati ent complicated with systemic air embolism or permanent atrioventricular conduct ion block. Conclusion Results suggested that intracardiac procedures on pump beating-heart with mild hypothermic cardiopnlmonary bypass is safe and available in patients with CHD or VHD. It might extenuate the heart and lung injury by hypothermia and ischemia-reperfusion during cardiopulmonary bypass. Cardiac conducting block might be prevented during operation.
