成人心臟外科名家手術(shù)手繪圖解

第一章基本方法
Chapter1GeneralProcedure
2第一節(jié)胸部切口/2
Section1ChestIncision
2圖1-1-1胸骨正中切口/2
Figure2001/1/1Mediansternotomy
6圖1-1-2心包切開/6
Figure2001/1/2Pericardiotomy
7圖1-1-3再次胸骨切開/7
Figure2001/1/3Redo-sternotomy
10圖1-1-4標(biāo)準(zhǔn)胸部外側(cè)切口/10
Figure2001/1/4Standardlateralthoracotomy
13圖1-1-5胸部后外側(cè)切口/13
Figure2001/1/5Posterolateralthoracotomy
15圖1-1-6胸部前外側(cè)切口/15
Figure2001/1/6Anterolateralthoracotomy
18圖1-1-7雙側(cè)胸部橫斷切口/18
Figure2001/1/7Bilateraltransversethoracosternotomy
21圖1-1-8左胸腹聯(lián)合切口/21
Figure2001/1/8Leftthoracoabdominalincision
26圖1-1-9胸骨縫合/26
Figure2001/1/9Sternalclosure
29圖1-1-10胸壁縫合/29
Figure2001/1/10Closureofthorax
32圖1-1-11改良Robicsek胸骨縫合法/32
Figure2001/1/11ModifiedRobicsektechniqueforsternalclosure
34第二節(jié)體外循環(huán)插管/34
Section2CannulationofExtracorporealCirculation
34圖1-2-1主動脈插供血管/34
Figure2001/2/1Aorticarterialcannulation
36圖1-2-2腔靜脈插管/36
Figure2001/2/2Cannulationofvenaecava
39圖1-2-3股動靜脈插管/39
Figure2001/2/3Cannulationoffemoralarteryandvein
43圖1-2-4腋動脈插供血管/43
Figure2001/2/4Axillaryarterycannulation
45圖1-2-5心臟減壓管/45
Figure2001/2/5Heartventing
49第三節(jié)術(shù)中心肌保護(hù)/49
Section3IntraoperativeMyocardialProtection
49圖1-3-1術(shù)中心肌保護(hù)/49
Figure2001/3/1Intraoperativemyocardialprotection
52第四節(jié)胸腔引流/52
Section4ThoracicDrainage
52圖1-4-1縱隔和胸膜腔引流/52
Figure2001/4/1Mediastinalandpleuraldrainage
55圖1-4-2縱隔感染的沖洗和引流/55
Figure2001/4/2Wash-outanddrainageformediastinitis
57第二章缺血性心臟病/57
Chapter2IschemicHeartDisease
58第一節(jié)體外循環(huán)冠狀動脈旁路移植術(shù)/58
Section1ConventionalCoronaryArteryBypassGrafting
59圖2-1-1摘取大隱靜脈/59
Figure2002/1/1Greatsaphenousveinharvest
63圖2-1-2摘取左胸廓內(nèi)動脈/63
Figure2002/1/2Leftinternalthoracicarteryharvest
65圖2-1-3遠(yuǎn)端吻合——大隱靜脈冠狀動脈吻合/65
Figure2002/1/3Distalanastomosis-anastomosisofGSVtocoronaryartery
70圖2-1-4遠(yuǎn)端吻合——胸廓內(nèi)動脈冠狀動脈吻合/70
Figure2002/1/4Distalanastomosis-anastomosisofITAtocoronaryartery
73圖2-1-5近端吻合——大隱靜脈升主動脈吻合/73
Figure2002/1/5Proximalanastomosis-anastomosisofGSVtoascendingaorta
79第二節(jié)全動脈冠狀動脈旁路移植術(shù)/79
Section2TotalArterialCoronaryArteryBypassGrafting
80圖2-2-1胃網(wǎng)膜右動脈與雙側(cè)胸廓內(nèi)動脈全動脈冠狀動脈旁路移植術(shù)/80
Figure2002/2/1TotalarterialCABGwithRGAandbilateralITAs
83圖2-2-2橈動脈與雙側(cè)胸廓內(nèi)動脈全動脈冠狀動脈旁路移植術(shù)/83
Figure2002/2/2TotalarterialCABGwithradialarteryandbilateralITAs
87第三節(jié)非體外循環(huán)冠狀動脈旁路移植術(shù)/87
Section3Off-PumpCoronaryArteryBypassGrafting
88圖2-3-1非體外循環(huán)冠狀動脈旁路移植術(shù)/88
Figure2002/3/1Off-pumpcoronaryarterybypassgrafting
94第四節(jié)左心室室壁瘤切除術(shù)/94
Section4ResectionofLeftVentricularAneurysm
95圖2-4-1左心室前壁室壁瘤切除術(shù)/95
Figure2002/4/1Resectionofanteriorleftventricularaneurysm
96圖2-4-2Dor氏手術(shù)/96
Figure2002/4/2Dorprocedure
99第五節(jié)心肌梗死后室間隔穿孔修補(bǔ)術(shù)/99
Section5RepairofPostinfarctionVentricularSeptalPerforation
100圖2-5-1心肌梗死后室間隔缺損縫合修補(bǔ)術(shù)/100
Figure2002/5/1Directclosureofpostinfarctionventricularseptaldefect
102圖2-5-2心肌梗死后室間隔缺損補(bǔ)片修補(bǔ)術(shù)/102
Figure2002/5/2Patchclosureofpostinfarctionventricularseptaldefect
105圖2-5-3心室前壁重建術(shù)/105
Figure2002/5/3Anteriorventricularrestoration
107圖2-5-4心尖修補(bǔ)術(shù)/107
Figure2002/5/4Repairofapicalventricularseptaldefect
111圖2-5-5心室下壁重建術(shù)/111
Figure2002/5/5Inferiorventricularrestoration
115第六節(jié)干細(xì)胞應(yīng)用/115
Section6StemCellApplication
116圖2-6-1干細(xì)胞注射/116
Figure2002/6/1Stemcelldelivery
117第三章成人心臟瓣膜疾病/117
Chapter3AdultValvularHeartDisease
118第一節(jié)二尖瓣手術(shù)/118
Section1SurgeryforMitralValveDisease
118圖3-1-1經(jīng)左心房二尖瓣入路/118
Figure2003/1/1Leftatriumapproachtomitralvalve
121圖3-1-2直視二尖瓣狹窄交界分離術(shù)/121
Figure2003/1/2Opencommissurotomyformitralstenosis
124圖3-1-3心包條瓣環(huán)成形術(shù)（HetzerⅠ式）/124
Figure2003/1/3Annuloplastywithpericardialstrip(HetzerapproachⅠ)
127圖3-1-4交界折疊術(shù)/127
Figure2003/1/4Commissuralplication
129圖3-1-5緣對緣技術(shù)用于Barlow氏病/129
Figure2003/1/5Edge-to-edgetechniqueforBarlow’sdisease
133圖3-1-6Duran瓣膜成形環(huán)植入術(shù)/133
Figure2003/1/6AnnuloplastywithDuranring
135圖3-1-7二尖瓣后葉矩形切除修補(bǔ)術(shù)/135
Figure2003/1/7Posteriormitralleafletrectangularresectionandreconstruction
138圖3-1-8二尖瓣前葉修補(bǔ)術(shù)/138
Figure2003/1/8Anteriormitralleafletrepair
140圖3-1-9二尖瓣人工腱索重建術(shù)/140
Figure2003/1/9Artificialchordalreconstruction
143圖3-1-10二尖瓣人工機(jī)械瓣置換術(shù)/143
Figure2003/1/10Mitralvalvereplacementwithmechanicalprosthesis
146圖3-1-11保留后葉及瓣下結(jié)構(gòu)的二尖瓣置換術(shù)/146
Figure2003/1/11Mitralvalvereplacementwithpreservationofposteriormitralleafletandsubvalvular
149圖3-1-12保留全部瓣下結(jié)構(gòu)的二尖瓣置換術(shù)/149
Figure2003/1/12Mitralvalvereplacementwithtotalsubvalvularstructurespreserved
152第二節(jié)主動脈瓣手術(shù)/152
Section2SurgeryforAorticValveDisease
152圖3-2-1主動脈瓣狹窄交界切開術(shù)/152
Figure2003/2/1Commissurotomyforaorticvalvestenosis
155圖3-2-2主動脈瓣環(huán)環(huán)縮術(shù)/155
Figure2003/2/2Aorticannulusretraction
157圖3-2-3主動脈瓣葉切除成形術(shù)/157
Figure2003/2/3Aorticvalveleafletresectionandvalvuloplasty
160圖3-2-4二葉主動脈瓣切除成形術(shù)/160
Figure2003/2/4Bicuspidaorticvalveresectionandvalvuloplasty
163圖3-2-5主動脈瓣葉補(bǔ)片修補(bǔ)術(shù)/163
Figure2003/2/5Patchrepairofaorticleaflet
165圖3-2-6主動脈瓣葉心包加寬術(shù)/165
Figure2003/2/6Enlargementofaorticleafletwithpericardialpatch
167圖3-2-7主動脈瓣交界縮縫術(shù)/167
Figure2003/2/7Aorticvalvecommissureconstrictionbycompressionsuture
169圖3-2-8主動脈瓣折疊成形術(shù)/169
Figure2003/2/8Aorticvalvefoldingplasty
171圖3-2-9主動脈瓣置換術(shù)/171
Figure2003/2/9Aorticvalvereplacement
176圖3-2-10Freestyle無支架生物瓣置換術(shù)/176
Figure2003/2/10AorticvalvereplacementwiththeFreestylestentlessbioprosthesis
180圖3-2-11小主動脈瓣環(huán)的主動脈瓣置換術(shù)（Konno法）/180
Figure2003/2/11Aorticvalvereplacementinsmallaorticannulus(Konnoprocedure)
184圖3-2-12同種瓣膜移植術(shù)/184
Figure2003/2/12Aorticvalvereplacementwithhomograft
189圖3-2-13經(jīng)心尖主動脈瓣植入術(shù)/189
Figure2003/2/13Transapicalaorticvalveimplantation
192圖3-2-14經(jīng)皮介入主動脈瓣植入術(shù)/192
Figure2003/2/14Percutaneousaorticvalveimplantation
195第三節(jié)三尖瓣手術(shù)/195
Section3SurgeryforTricuspidValveDisease
195圖3-3-1兩孔技術(shù)三尖瓣修復(fù)術(shù)/195
Figure2003/3/1Repairfortricuspidvalvewithdouble-orificetechnique
198圖3-3-2三尖瓣瓣環(huán)成形術(shù)（Hetzer-DeVega法）/198
Figure2003/3/2Tricuspidannuloplasty(Hetzer-DeVegaprocedure)
201圖3-3-3三尖瓣后瓣環(huán)折疊縫合術(shù)（二瓣化）/201
Figure2003/3/3Obliterationofposteriortricuspidannulus(bicuspidization)
203圖3-3-4直視三尖瓣狹窄交界分離術(shù)/203
Figure2003/3/4Opencommissurotomyfortricuspidstenosis
204圖3-3-5心內(nèi)膜炎三尖瓣修補(bǔ)術(shù)/204
Figure2003/3/5Tricuspidvalverepairforendocarditis
210圖3-3-6保留瓣下結(jié)構(gòu)的三尖瓣置換術(shù)/210
Figure2003/3/6Tricuspidvalvereplacementwithsubvalvularstructurepreserved
213第四章主動脈疾病/213
Chapter4AorticDisease
214第一節(jié)主動脈夾層/214
Section1AorticDissection
215圖4-1-1主動脈夾層的分型/215
Figure2004/1/1Classificationofaorticdissection
216圖4-1-2升主動脈人工血管置換和主動脈根部重建術(shù)/216
Figure2004/1/2Ascendingaortagraftreplacementandaorticrootreconstruction
222圖4-1-3帶瓣外管道升主動脈置換術(shù)（Bentall手術(shù)）/222
Figure2004/1/3Ascendingaorticgraftreplacementwithacompositevalvedconduit(Bentall
225圖4-1-4主動脈弓頂島狀修復(fù)術(shù)/225
Figure2004/1/4Repairoftransverseaorticarch
229圖4-1-5胸降主動脈人工血管置換術(shù)/229
Figure2004/1/5Descendingthoracicaortagraftreplacement
232圖4-1-6急性B型夾層降主動脈人工血管置換術(shù)/232
Figure2004/1/6DescendingaortagraftreplacementforacutetypeBdissection
236圖4-1-7慢性B型夾層降主動脈人工血管置換術(shù)/236
Figure2004/1/7DescendingaortagraftreplacementforchronictypeBdissection
239圖4-1-8A型夾層一期雜交修復(fù)術(shù)/239
Figure2004/1/8One-stagehybridrepairfortypeAdissection
244第二節(jié)升主動脈瘤和主動脈根部手術(shù)/244
Section2AscendingAorticAneurysmandAorticRootSurgery
244圖4-2-1升主動脈人工血管置換術(shù)/244
Figure2004/2/1Ascendingaortagraftreplacement
247圖4-2-2升主動脈人工血管置換加半弓重建術(shù)/247
Figure2004/2/2Ascendingaortagraftreplacementwithhemi-archreconstruction
251圖4-2-3主動脈根部擴(kuò)張保留瓣膜的修復(fù)術(shù)（Hetzer法）/251
Figure2004/2/3Valve-sparingoperationinaorticrootectasia(Hetzerprocedure)
256圖4-2-4保留瓣膜的升主動脈人工血管置換術(shù)/256
Figure2004/2/4Ascendingaortagraftreplacementwithvalve-sparingtechnique
257圖4-2-5升主動脈置換和主動脈瓣置換術(shù)/257
Figure2004/2/5Separatereplacementofascendingaortaandaorticvalve
260圖4-2-6帶瓣外管道主動脈根部置換術(shù)（Bentall手術(shù)）/260
Figure2004/2/6Aorticrootreplacementwithacompositevalvedconduit(Bentallprocedure)
264圖4-2-7Cabrol技術(shù)重建冠狀動脈血流/264
Figure2004/2/7Cabroltechniqueforreestablishmentofcoronaryflow
267圖4-2-8主動脈竇部分切除成形術(shù)/267
Figure2004/2/8Partialresectionandangioplastyofaorticsinus
268圖4-2-9保留瓣膜的主動脈瓣根部置換術(shù)（David手術(shù)）/268
Figure2004/2/9Valve-sparingaorticrootreplacement(Davidprocedure)
275圖4-2-10保留瓣膜的主動脈瓣根部置換術(shù)（Yacoub手術(shù)）/275
Figure2004/2/10Valve-sparingaorticrootreplacement(Yacoubtechnique)
278第三節(jié)主動脈弓動脈瘤/278
Section3AorticArchAneurysm
278圖4-3-1主動脈弓人工血管置換術(shù)/278
Figure2004/3/1Aorticarchgraftreplacement
282圖4-3-2主動脈弓人工血管置換加象鼻術(shù)/282
Figure2004/3/2Aorticarchgraftreplacementwithelephanttrunkreconstruction
284圖4-3-3主動脈弓上分支重建加主動脈弓內(nèi)支架術(shù)/284
Figure2004/3/3Translocationofthesupra-aorticvesselsandstentgraftingofthearch
288圖4-3-4升主動脈置換、主動脈弓上分支重建加主動脈弓內(nèi)支架術(shù)/288
Figure2004/3/4Ascendingaorticgraftreplacement,translocationofthesupra-aorticvessels,andstentoftheaorticarch
290圖4-3-5主動脈弓囊狀動脈瘤切除修補(bǔ)術(shù)/290
Figure2004/3/5Aorticarchsaccularaneurysmresectionandrepair
292第四節(jié)降主動脈瘤/292
Section4DescendingAorticAneurysm
292圖4-4-1降主動脈人工血管置換加半弓重建術(shù)/292
Figure2004/4/1Descendingaorticgraftreplacementandhemi-archreconstruction
295圖4-4-2單純阻斷技術(shù)降主動脈人工血管置換術(shù)/295
Figure2004/4/2Descendingaortagraftreplacementwithsimpleclampingtechnique
299圖4-4-3分段阻斷技術(shù)降主動脈人工血管置換術(shù)/299
Figure2004/4/3Descendingaortagraftreplacementwithsubsectionsimpleclampingtechnique
302第五節(jié)胸-腹主動脈瘤/302
Section5Thoraco-AbdominalAorticAneurysm
302圖4-5-1帶分支人工血管移植和肋間動脈重建術(shù)/302
Figure2004/5/1Branchedgraftimplantationandintercostalarteriesreconstruction
305圖4-5-2胸-腹主動脈瘤直視修復(fù)術(shù)/305
Figure2004/5/2Openthoraco-abdominalaorticaneurysmrepair
306圖4-5-3帶多分支人工血管主動脈直視修復(fù)術(shù)/306
Figure2004/5/3Openaorticrepairwithmultibranchedgraft
307第六節(jié)腹主動脈瘤/307
Section6AbdominalAorticAneurysm
307圖4-6-1腎動脈下腹主動脈瘤人工血管置換術(shù)/307
Figure2004/6/1Aorticgraftrepairforinfrarenalabdominalaorticaneurysm
309圖4-6-2腎動脈下腹主動脈瘤Y形人工血管置換術(shù)/309
Figure2004/6/2Y-shapedgraftrepairforinfrarenalabdominalaorticaneurysm
312圖4-6-3腎動脈下腹主動脈瘤伴髂動脈狹窄Y形人工血管置換術(shù)/312
Figure2004/6/3Y-shapedgraftrepairforinfrarenalabdominalaorticaneurysmwithiliacstenosis
316圖4-6-4腎動脈上腹主動脈瘤人工血管置換術(shù)（胸-腹聯(lián)合切口）/316
Figure2004/6/4Aorticgraftrepairvascularforsuprarenalabdominalaorticaneurysm(thoraco-abdominalincision)
319圖4-6-5腎動脈上腹主動脈瘤人工血管置換術(shù)（腹部切口）/319
Figure2004/6/5Aorticgraftrepairforsuprarenalabdominalaorticaneurysm(abdominalincision)
322第七節(jié)主動脈內(nèi)膜破裂/322
Section7AorticIntimalRupture
322圖4-7-1直視人工血管置換術(shù)/322
Figure2004/7/1Openaortagraftreplacement
324第八節(jié)霉菌性主動脈瘤/324
Section8MycoticAorticAneurysm
324圖4-8-1血管內(nèi)支架植入及腸瘺后霉菌性主動脈瘤/324
Figure2004/8/1Mycoticaorticaneurysmfollowingendograftimplantationandintestinalfistula
326圖4-8-2直視修補(bǔ)椎間盤炎導(dǎo)致的主動脈假性動脈瘤/326
Figure2004/8/2Openrepairforaorticpseudoaneurysmcausedbyspondylodiscitis
328第九節(jié)主動脈雜交手術(shù)/328
Section9HybridAortaSurgery
328圖4-9-1雜交修補(bǔ)遠(yuǎn)段主動脈弓和降主動脈瘤/328
Figure2004/9/1Hybridrepairfordistalsegmentofaorticarchanddescending
330圖4-9-2雜交修補(bǔ)主動脈弓和降主動脈瘤/330
Figure2004/9/2Hybridrepairforaorticarchanddescendingaorticaneurysm
332圖4-9-3一期雜交修補(bǔ)胸主動脈瘤/332
Figure2004/9/3One-stagehybridrepairforthoracicaorticaneurysm
336圖4-9-4一期雜交修補(bǔ)胸主動脈瘤伴主動脈瓣關(guān)閉不全/336
Figure2004/9/4One-stagehybridrepairforthoracicaorticaneurysmwithaorticvalveinsufficiency
339第五章心律失常/339
Chapter5Arrhythmia
340第一節(jié)心動過緩和心臟起搏器/340
Section1BradycardiaandPacemaker
340圖5-1-1心外膜起搏/340
Figure2005/1/1Epicardialpacing
342圖5-1-2經(jīng)胸起搏器植入術(shù)/342
Figure2005/1/2Transthoracicapproachforplacementofpacemaker
345第二節(jié)心房顫動的外科治療/345
Section2SurgicalTreatmentofAtrialFibrillation
345圖5-2-1微創(chuàng)經(jīng)胸心房顫動消融術(shù)（Wolf法）/345
Figure2005/2/1Ablationofatrialfibrillationinminimallyinvasivethoracotomy(Wolfprocedure)
349圖5-2-2心臟直視手術(shù)時(shí)伴行心房顫動消融術(shù)/349
Figure2005/2/2Ablationofatrialfibrillationinconcomitantopenheartsurgery
356圖5-2-3Cox迷宮Ⅳ型手術(shù)/356
Figure2005/2/3Cox-mazeⅣprocedure
367第六章其他心臟疾病
Chapter6OtherCardiacDiseases
368第一節(jié)肺栓塞和肺動脈血栓清除術(shù)/368
Section1PulmonaryEmbolismandPulmonaryArteryEmbolectomy
368圖6-1-1肺動脈血栓清除術(shù)/368
Figure2006/1/1Pulmonaryarteryembolectomy
372圖6-1-2抗血栓夾植入術(shù)/372
Figure2006/1/2Implantationofantithromboticclip
374第二節(jié)心臟腫瘤（黏液瘤）/374
Section2CardiacTumor(Myxoma)
374圖6-2-1左心房黏液瘤摘除術(shù)/374
Figure2006/2/1Leftatrialmyxomaresection
377第三節(jié)心包疾病/377
Section3PericardialDisease
377圖6-3-1心包切開引流術(shù)/377
Figure2006/3/1Pericardiotomyfordrainage
380圖6-3-2心包剝脫術(shù)/380
Figure2006/3/2Pericardialdecortication
383第四節(jié)梗阻性肥厚型心肌病/383
Section4HypertrophicObstructiveCardiomyopathy
383圖6-4-1梗阻性肥厚型心肌病左心室流出道疏通術(shù)/383
Figure2006/4/1Leftventricularoutflowtractdredgingforhypertrophicobstructivecardiomyopathy
387第七章心臟移植和肺移植/387
Chapter7HeartTransplantationandLungTransplantation
388第一節(jié)原位心臟移植/388
Section1OrthotopicHeartTransplantation
388圖7-1-1摘取供心/388
Figure2007/1/1Harvestofdonorheart
392圖7-1-2雙心房移植法/392
Figure2007/1/2Biatrialtechnique
395圖7-1-3雙腔靜脈移植法/395
Figure2007/1/3Bicavaltechnique
396第二節(jié)心肺移植/396
Section2Heart-LungTransplantation
396圖7-2-1獲取供者心肺/396
Figure2007/2/1Donoroperationforheart-lungtransplantation
399圖7-2-2病心切除/399
Figure2007/2/2Excisionofdiseasedheart
402圖7-2-3病肺切除/402
Figure2007/2/3Excisionofdiseasedlung
404圖7-2-4心肺移植/404
Figure2007/2/4Heart-lungtransplantation
407第三節(jié)肺移植/407
Section3LungTransplantation
407圖7-3-1肺移植切口/407
Figure2007/3/1Incisionforlungtransplantation
409圖7-3-2氣管插管/409
Figure2007/3/2Trachealintubation
410圖7-3-3供肺準(zhǔn)備/410
Figure2007/3/3Preparationofdonorlung
412圖7-3-4右病肺切除/412
Figure2007/3/4Excisionofrightdiseasedlung
414圖7-3-5右肺植入/414
Figure2007/3/5Implantationofrightlung
417圖7-3-6左肺植入/417
Figure2007/3/6Implantationofleftlung
420第四節(jié)先天性心臟病的心臟移植/420
Section4HeartTransplantationforCongenitalHeartDisease
420圖7-4-1左心發(fā)育不良綜合征原位心臟移植/420
Figure2007/4/1Orthotopichearttransplantationforhypoplasticleftheartsyndrome
424圖7-4-2Mustard/Senning手術(shù)后原位心臟移植（雙腔靜脈移植法）/424
Figure2007/4/2OrthotopichearttransplantationunderwentMustard/Senningprocedure(bicavaltechnique)
429圖7-4-3Mustard/Senning手術(shù)后原位心臟移植（雙心房移植法）/429
Figure2007/4/3OrthotopichearttransplantationunderwentMustard/Senningprocedure(biatrialtechnique)
431圖7-4-4內(nèi)臟反位的原位心臟移植/431
Figure2007/4/4Orthotopichearttransplantationforpatientwithsitusinversusviscerum
435圖7-4-5外導(dǎo)管全腔靜脈肺動脈連接術(shù)后原位心臟移植/435
Figure2007/4/5Orthotopichearttransplantationunderwenttotalcavopulmonaryconnectionwithexternaltunnel
437圖7-4-6大動脈轉(zhuǎn)位原位心臟移植/437
Figure2007/4/6Orthotopichearttransplantationfortranspositionofgreatarteries
441第八章機(jī)械輔助循環(huán)/441
Chapter8MechanicalCirculatorySupport
442第一節(jié)主動脈內(nèi)球囊反搏/442
Section1Intra-AorticBalloonPump
442圖8-1-1經(jīng)股動脈插入/442
Figure2008/1/1Transfemoralinsertion
446圖8-1-2經(jīng)鎖骨下動脈插入/446
Figure2008/1/2Insertionviasubclavianartery
450圖8-1-3經(jīng)升主動脈插入/450
Figure2008/1/3Insertionviaascendingaorta
455第二節(jié)體外膜氧合/455
Section2ExtracorporealMembraneOxygenation
455圖8-2-1靜脈-動脈體外膜氧合/455
Figure2008/2/1Veno-arterialextracorporealmembraneoxygenation
456圖8-2-2靜脈-靜脈體外膜氧合/456
Figure2008/2/2Veno-venousextracorporealmembraneoxygenation
457圖8-2-3ECMO在心臟手術(shù)后的應(yīng)用/457
Figure2008/2/3ECMOunderwentpostcardiotomy
458圖8-2-4ECMO與主動脈內(nèi)球囊反搏同時(shí)應(yīng)用/458
Figure2008/2/4ECMOconcomitantlyintra-aorticballoonpump
460圖8-2-5ECMO在嬰幼兒和兒童中的應(yīng)用/460
Figure2008/2/5ECMOforinfantsandchildren
462第三節(jié)心室輔助裝置/462
Section3VentricularAssistDevice
463圖8-3-1Excor左心室輔助裝置植入術(shù)/463
Figure2008/3/1ImplantationofExcorasaLVAD
466圖8-3-2Excor雙心室輔助裝置植入術(shù)/466
Figure2008/3/2ImplantationofExcorasaBVAD
470圖8-3-3Impella左心室輔助裝置植入術(shù)/470
Figure2008/3/3ImplantationofImpellaasaLVAD
472圖8-3-4Impella右心室輔助裝置植入術(shù)/472
Figure2008/3/4ImplantationofImpellaasaRVAD
476圖8-3-5HeartMateⅠ植入術(shù)/476
Figure2008/3/5ImplantationofHeartMateⅠ
482圖8-3-6HeartMateⅡ植入術(shù)/482
Figure2008/3/6ImplantationofHeartMateⅡ
487圖8-3-7HeartMateⅢ植入術(shù)/487
Figure2008/3/7ImplantationofHeartMateⅢ
494圖8-3-8Novacor植入術(shù)/494
Figure2008/3/8ImplantationofNovacor
500圖8-3-9LionHeart植入術(shù)/500
Figure2008/3/9ImplantationofLionHeart
505圖8-3-10DeBakey左心室輔助裝置植入術(shù)/505
Figure2008/3/10ImplantationofDeBakeyasaLVAD
508圖8-3-11Incor植入術(shù)/508
Figure2008/3/11ImplantationofIncor
512圖8-3-12DuraHeart植入術(shù)/512
Figure2008/3/12ImplantationofDuraHeart
514圖8-3-13VentraAssist植入術(shù)/514
Figure2008/3/13ImplantationofVentraAssist
519圖8-3-14Jarvik2000植入術(shù)/519
Figure2008/3/14ImplantationofJarvik2000
522圖8-3-15Jarvik2000非體外循環(huán)下植入術(shù)/522
Figure2008/3/15ImplantationofJarvik2000withoff-pumptechnique
525圖8-3-16Jarvik2000左心室輔助裝置植入術(shù)和雙心室輔助裝置植入術(shù)/525
Figure2008/3/16ImplantationofJarvik2000asaLVADandaBVAD
531圖8-3-17HeartWare植入術(shù)/531
Figure2008/3/17ImplantationofHeartWare
535圖8-3-18HeartWare微創(chuàng)植入術(shù)/535
Figure2008/3/18MinimallyinvasiveimplantationofHeartWare
540圖8-3-19Levitronix左心室輔助裝置植入術(shù)/540
Figure2008/3/19ImplantationofLevitronixasaLVAD
543圖8-3-20Levitronix右心室輔助裝置和雙心室輔助裝置植入術(shù)/543
Figure2008/3/20ImplantationofLevitronixasaRVADandaBVAD
544第四節(jié)兒童心室輔助裝置/544
Section4VentricularAssistDeviceforChildren
544圖8-4-1新生兒和兒童Excor植入術(shù)/544
Figure2008/4/1ImplantationofExcorforneonatesandchildren
547第五節(jié)全人工心臟/547
Section5TotalArtificialHeart
549圖8-5-1CardioWest全人工心臟植入術(shù)/549
Figure2008/5/1ImplantationofCardioWesttotalartificialheart