检索结果-南通市图书馆

Extracorporeal membrane oxygenation in curing a young man after modified fontan operation:A case report

World Journal of Clinical Cases 2022年第29期10卷 10614-10621页

作者： He-Bing Guo Jian-Bo Tan Yong-Chao Cui Hao-Feng Xiong Chuan-Sheng Li Yu-Feng Liu Yao Sun Lin Pu Pan Xiang Ming Zhang Jing-Jing Hao Ning-Ning Yin Xiao-Tong Hou Jing-Yuan Liu Department of Critical Care Medicine Beijing Ditan HospitalCapital Medical UniversityBeijing 100015China Center for Cardiac Intensive Care Beijing Anzhen HospitalCapital Medical UniversityBeijing 100029China

BACKGROUND The fontan operation is the only treatment option to change the anatomy of the heart and help improve patients’ *** successful operation,patients typically recover the ability to engage in general physical *** a better ventilatory strategy,extracorporeal membrane oxygenation(ECMO) provides gas exchange via an extracorporeal circuit,and is increasingly being used to improve respiratory and circulatory *** the modified fontan operation,circulation is different from that of patients who are not subjected to the *** paper describe a successful case using ECMO in curing influenza A infection in a young man,who was diagnosed with Tausing-Bing syndrome and underwent fontan operation 13 years *** special cardiac structure and circulatory characteristics are explored in this *** SUMMARY We report a successful case using ECMO in curing influenza A infection in a 23-year-old man,who was diagnosed with Tausing-Bing syndrome and underwent fontan operation 13 years *** man was admitted to the intensive care unit with severe acute respiratory distress syndrome as a result of influenza A *** was initially treated by veno-venous(VV) ECMO,which was switched to veno-venous-arterial ECMO(VVA ECMO) 5 d *** circulation and respiratory function gradually improved,the VVA ECMO equipment was removed on May 1,*** patient was successfully withdrawn from artificial ventilation on May 28,2018 and then discharged from hospital on May 30,*** After the modified fontan operation,circulation is different compared with that of patients who are not subjected to the *** are certainly many differences between them when they receive the treatment of *** to the special cardiac structure and circulatory characteristics,an individualized liquid management strategy is necessary and it might be better for them to choose an active circulation support earlier.

关键词： Acute respiratory distress syndrome Extracorporeal membrane oxygenation modified fontan operation Tausing-Bing syndrome Case report

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Results of fontan in Patients with Apicocaval Juxtaposition or/and Separated Hepatic Venous Drainage

引用

Congenital Heart Disease 2021年第5期16卷 477-485页

作者： Ju Wang Shuo Dong Jun Yan Department of Pediatric Cardiac Surgery National Center for Cardiovascular Disease and Fuwai HospitalChinese Academy of Medical SciencesPeking Union Medical CollegeBeijingChina

Objective:Modifications of the fontan operation,which are also known as total cavopulmonary connection(TCPC),are widely applied for patients with functionally univentricular hearts(FUH).Herein,we summed up the different surgical pathways and clinical outcomes in FUH patients with apicocaval juxtaposition(ACJ)or/and separated hepatic venous(SHV)***:Between January 2009 and December 2019,123 patients who undergone TCPC in our institute were included in this retrospective *** have included 70 patients with ACJ(Group 1)and 53 patients with SHV(Group 2).Moreover,Group 2 included 17 cases combing with ACJ(32.1%).In Group 1,three different TCPC methods were *** 45 cases were conducted with the extracardiac conduit-TCPC(EC-TCPC)method,24 cases used the intracardiac conduit-TCPC(IC-TCPC)method,and only one case used the lateral tunnel-TCPC(LT-TCPC).In Group 2,four TCPC methods were conducted on *** cases used the EC-TCPC-common open technique,6 cases with IC-TCPC technique,4 cases with LT-TCPC,and 3 cases with intra-extracardiac conduit-TCPC(IEC-TCPC).Results:There were 7 patients in Group 1 and 14 patients in Group 2 who required early re-operation during hospitalization(poperation(pfontan principle of connecting systemic venous to the pulmonary vasculature unimpededly,surgeons should carefully evaluate three components when choosing for the surgical technique:The distance between inferior vena cava(IVC)and the apex;the site of the vertebrae relative to the ACJ;the distance between ACJ and SHV if ***,the technique should be altered when the postoperative mPAP was greater than 15 mmHg.

关键词： modified fontan operation apicocaval juxtaposition separated hepatic venous drainage functionally univentricular hearts

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：