The reasonable use of right ventricular protection strategy in right ventricular outflow tract reconstruction
10.3760/cma.j.issn.0529-5815.2018.06.004
- VernacularTitle: 右心室系统性保护策略在右心室流出道重建中的合理应用
- Author:
Yong ZHANG
1
;
Haiyun YUAN
;
Xiaobing LIU
;
Shusheng WEN
;
Gang XU
;
Hujun CUI
;
Jian ZHUANG
;
Jimei CHEN
Author Information
1. Department of Cardiac Surgery, Guangdong Cardiovascular Institute, Guangdong General Hospital (Guangdong Academic of Medical Sciences), Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangzhou 510100, China
- Publication Type:Journal Article
- Keywords:
Heart defects, congenital;
Ventricular function, right;
Pulmonary valve insufficiency
- From:
Chinese Journal of Surgery
2018;56(6):410-413
- CountryChina
- Language:Chinese
-
Abstract:
As a result of right ventricular outflow tract reconstruction, which is the important and basic step of complex cardiac surgery, the blood flow of right ventricular outflow tract is unobstructed, while pulmonary valve regurgitation and right heart dysfunction could be happened. These problems are often ignored in early days, more and more cases of right heart dysfunction need clinical intervention, which is quite difficult and less effective. How to protect effectively the right ventricular function is the focus. At present main methods to protect the right ventricular function include trying to avoid or reduce length of right ventricular incision, reserving or rebuilding the function of the pulmonary valve, using growth potential material for surgery. The protection of the right ventricular function is a systemic project, it involves many aspects, single measures is difficult to provide complete protection, only the comprehensive use of various protection strategy, can help to improve the long-term prognosis.
