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首页> 外文期刊>Artificial Organs >Elective bridging to recovery after repair: the surgical approach to ventricular reverse remodeling.
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Elective bridging to recovery after repair: the surgical approach to ventricular reverse remodeling.

机译：选择性桥接以修复后恢复：心室反向重塑的手术方法。

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摘要

We described our "surgical approach to reverse ventricular remodeling" in advanced chronic heart failure, based on the unique idea that "downstaging" class IV heart failure by supporting patients with left ventricular assist devices (LVADs) allows treatments mainly indicated for class III patients. The types of surgeries include mitral valve repair, surgical ventricular remodeling, coronary artery bypass grafting, and cardiac resynchronization. This approach has been applied to two patients with class IV chronic heart failure due to idiopathic dilated cardiomyopathy who were supported with the magnetically levitated Levacor LVAD. These were the first in-human implantations of this device. Sustained short- to medium-term recovery has been achieved in both patients.
机译：我们描述了晚期慢性心力衰竭的“逆向心室重构手术方法”，其独特思想是通过支持左心室辅助装置（LVAD）来“降低” IV级心力衰竭的治疗方法，主要针对III级患者。手术类型包括二尖瓣修复，手术室重构，冠状动脉搭桥术和心脏再同步。该方法已应用于两名因特发性扩张型心肌病而被磁悬浮Levacor LVAD支持的IV级慢性心力衰竭患者。这些是该设备的首次人类植入。两名患者均实现了持续的中短期恢复。

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