左心室衰竭的手术治疗西方的观点-课件，幻灯，PPT.pptVIP

左心室衰竭的手术治疗 西方的观点;充血性心力衰竭;心脏移植和心力衰竭;20世纪80年代中叶以前， EF 20% 的患者行CABG手术时死亡率非常之高，使其成为手术的禁忌症;低射血分数患者的CABG 术;心室功能 ;结果;结果;结论;左心室容积预测缺血性心肌病患者的手术后存活率;存活率和 LVESVI;心力衰竭和 LVESVI;Dor术式治疗无运动疤痕  Centre Cardiothoracique de Monaco (n=100);;;;;“对于缺血性心肌病患者，冠状动脉搭桥术联合心室成形术优于单纯的冠状动脉搭桥术”;手术前比较;手术指征;手术中的资料;预后数据;结论;那么哪些是最佳适应症?;缺血性二尖瓣返流的手术治疗; ;手术方法;二尖瓣修补缺血性MR的治疗方法;存在冠状动脉疾病时，二尖瓣修补手术优于置换手术;;;Tethered 瓣叶;复位缝合;缺血性MR – 结果n=105;这些手术与心脏移植术的比较?;治疗心肌病的手术手术死亡率;治疗心肌病的手术费用;“每一个问题都有一个解答：简单的，明了的，或错误的”;;Surgery for the Failing Left Ventricle- Perspective West;Congestive Heart Failure;Transplantation Heart Failure;Prior to the mid 1980’s, CABG in patients with EF 20% associated with prohibitive mortality;CABG for low EF;Ventricular Function;Results;Results;Conclusions;Left Ventricular Volume Predicts Postoperative Survival in Ischemic Cardiomyopathy;Survival and LVESVI;Heart Failure and LVESVI;Dor Procedure in Akinetic Scars Centre Cardiothoracique de Monaco (n=100);;;;;“Coronary Artery Bypass with Ventricular Remodeling is Superior to Coronary Artery Bypass Alone in Patients with Ischemic Cardiomyopathy”;Preoperative Comparisons;Indication for Operation;Intraoperative Data;Outcome Data;Conclusions;So who is the best candidate?;Surgical Therapy for Ischemic Mitral Regurgitation; ;Surgical Approaches;Mitral Valve RepairTechnique for Ischemic MR;Mitral Repair is Superior to Replacement When Associated with Coronary Artery Disease;;;Tethered Leaflet;Repositioning Stitch;Ischemic MR – Resultsn=105;How do these procedures compare to cardiac transplantation?;Cardiomyopathy ProceduresOperative Mortality;Cardiomyopathy ProceduresCost;“For every problem, there is one solution which is simple, neat, and wrong”