左心室衰竭的手术治疗西方的观点-幻灯课件

1、Hochberg MS, et al. J TCV 86:519-27, 1983Kron, et al. Ann Surg 210:348-54, 1989p0.05*p0.05 compared to age of survivors*p0.05 compared to vessel quality in survivorsLangenberg SA, et al. Ann Thor Surg. Nov 60(5): 1193-6, 1995Yamaguchi et al. Ann Thorac Surg. 1998; 65:434-8Dor, et al. J Thorac Cardio

2、vasc Surg 1998;116:50-9.Dor, et al. JTCVS 116:50-9, 1998“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”Maxey TS, Kron IL, et al J Thorac Cardiovasc Surg. 2004 Feb;127(2):428-34*p0.05心室-二尖瓣复合物一场拔河比赛Reece et al, Ann Surg. 2004 May;239(5):671-5; discussion 675-7T. Brett Reece et al, Ann Surg. 2004 May;239(5):6

3、71-5; discussion 675-7Anterior Papillary MuscleMitral LeafletsAnt. PostNormal PPMDisplacedPPMMRLALAMRLVGazoni LM, etal. Ann Thorac Surg 2007 Sep; 84(3): 750-7; discussion 758p=0.8 心脏移植术 vs. 其他术式Cope et al, Ann Thorac Surg 2001; (72) 1298-305心脏移植术的平均总费用比其他术式高3倍以上 (p 0.001)Cope et al, Ann Thorac Surg

4、2001; (72) 1298-305“每一个问题都有一个解答：简单的，明了的，或错误的”-H.L. MenckenHochberg MS, et al. J TCV 86:519-27, 1983Kron, et al. Ann Surg 210:348-54, 1989p0.05*p0.05 compared to age of survivors*p0.05 compared to vessel quality in survivorsLangenberg SA, et al. Ann Thor Surg. Nov 60(5): 1193-6, 1995Yamaguchi et al.

5、Ann Thorac Surg. 1998; 65:434-8Dor, et al. J Thorac Cardiovasc Surg 1998;116:50-9.Dor, et al. JTCVS 116:50-9, 1998“Coronary Artery Bypass with Ventricular Remodeling is Superior to Coronary Artery Bypass Alone in Patients with Ischemic Cardiomyopathy”Maxey TS, Kron IL, et al J Thorac Cardiovasc Surg

6、. 2004 Feb;127(2):428-34*p0.05Reece et al, Ann Surg. 2004 May;239(5):671-5; discussion 675-7T. Brett Reece et al, Ann Surg. 2004 May;239(5):671-5; discussion 675-7Anterior Papillary MuscleMitral LeafletsAnt. PostNormal PPMDisplacedPPMMRLALAMRLVGazoni LM, etal. Ann Thorac Surg 2007 Sep; 84(3): 750-7; discussion 758p=0.8 for heart transplantation vs. other operationsCope et al, Ann Thorac Surg 2001; (72) 1298-305Transplant mean total cost 3x higher (p 0.001)Cope et al, Ann Thorac Surg 20