心血管外科技术发展前沿与未来趋势  

Technological development frontier and future trend of cardiovascular surgery

作　　者：尚小珂[1] 张长东 钟禹成[1] 董念国[1] SHANG Xiaoke;ZHANG Changdong;ZHONG Yucheng;DONG Nianguo(Department of Cardiovascular Surgery,Huazhong University of Science and Technology,Union Hospital Affiliated Tongji Medical College,Wuhan,430022,P.R.China)

机构地区：[1]华中科技大学同济医学院附属协和医院心脏大血管外科,武汉430022

出　　处：《中国胸心血管外科临床杂志》2025年第1期41-53,共13页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：国家重点研发计划(2020YFC2008101;2021YFA1101900;2023YFB3810100;2023YFC2706203)。

摘　　要：近几年,心血管外科领域革故鼎新、突飞猛进,多个方面取得了突破性进展,为患者的健康福祉带来了更多的希望和可能。新技术的层出不穷带来了新的机遇和希望,也带来了对过去理念的不断挑战。本文旨在全面概述近年,尤其是2023年以来心血管外科的最新进展,介绍心血管外科领域的前沿知识和技术,包括主动脉瓣疾病的终身管理、人工瓣膜领域、二尖瓣领域、肥厚型梗阻性心肌病治疗选择、心脏移植领域、左心室辅助领域、冠状动脉外科领域、慢性心力衰竭的心脏结构干预手段、主动脉夹层领域及心房颤动的外科综合治疗,并深入分析和探讨未来的发展方向,以期为广大心血管医生提供有益的参考和启示,共同推动我国心血管外科事业的不断前进。In recent years,the field of cardiovascular surgery has undergone revolutionary changes and made rapid progress in various aspects,bringing more hope and possibilities for the health and well-being of patients.The constant emergence of new technologies brings new opportunities and hope,as well as constant challenges to past concepts.This article aims to provide a comprehensive overview of the latest developments in cardiovascular surgery in recent years,especially since 2023.It introduces cutting-edge knowledge and technologies in the field of cardiovascular surgery,including lifelong management of aortic valve disease,artificial valves,mitral valves,treatment options for hypertrophic obstructive cardiomyopathy,heart transplantation,left ventricular assist,coronary artery surgery,cardiac structural interventions for chronic heart failure,aortic dissection,and comprehensive surgical treatment of atrial fibrillation.It also analyzes and explores future development directions in depth,aiming to provide useful references and inspiration for cardiovascular doctors and jointly promote the continuous progress of cardiovascular surgery in China.

关 键 词：终身管理 新型人工心脏瓣膜 瓣中瓣 室间隔心肌切除术 心脏结构干预 扩展标准供体 心室辅助装置 综述 

分 类 号：R654[医药卫生—外科学]