左心室辅助装置置入术后右心衰的防治  

Prevention and treatment of right ventricular failure after left ventricular assist device transplantation

作　　者：袁莉 孙晓宁 王春生 Yuan Li;Sun Xiaoning;Wang Chunsheng(Department of Cardiovascular Surgery,Zhongshan Hospital,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学附属中山医院心外科,上海200032

出　　处：《中华胸心血管外科杂志》2021年第12期765-768,共4页Chinese Journal of Thoracic and Cardiovascular Surgery

基　　金：国家自然科学基金(8197021163)。

摘　　要：左心室辅助装置(LVAD)已成为晚期心衰患者的主要治疗方式,有助于降低晚期心衰病死率。然而一直以来,LVAD置入术后右心室衰竭(RVF)预测和治疗均很困难,是LVAD治疗的一项挑战。目前临床缺乏可持久使用的右心室辅助装置,限制了机械循环支持对双心室衰竭患者的影响。本文就LVAD置入术后RVF的防治进行综述,并探讨未来的研究方向。Left ventricular assist devices(LVAD)has become the main treatment for advanced heart failure,which effectively reduced the mortality of patients with advanced heart failure.However,postoperative right ventricular failure(RVF)has been a long-term challenge in the treatment of LVAD.At present,postoperative RVF is not only difficult to predict,but also difficult to treat.The lack of long-term right ventricular assist device has limited the impact that mechanical circulatory support can provide to patients with biventricular failure.This review summarizes the prevention and treatment of right heart failure after left ventricular assist device transplantation and explores the direction of future research.

关 键 词：心室辅助装置 右心衰 持久使用 心室衰竭 机械循环支持 LVAD 患者的影响 置入术后 

分 类 号：R654.2[医药卫生—外科学]