上海交通大学学报（医学版）

上海交通大学学报(医学版) ›› 2020, Vol. 40 ›› Issue (5): 698-700.doi: 10.3969/j.issn.1674-8115.2020.05.024

• 病例报告 • 上一篇    

肾移植术后再次体外循环心脏手术1例报道

倪寅凯，赵金龙，付 亮，路喆鑫，陈宗辉，励 峰   

  1. 上海交通大学附属第六人民医院心血管外科，上海 200233
  • 出版日期:2020-05-28 发布日期:2020-05-28
  • 作者简介:倪寅凯（1987—），男，主治医师，硕士；电子信箱：niyinkai1987@163.com。

Redo cardiac surgery with cardiopulmonary bypass after renal transplantation: a case report

NI Yin-kai, ZHAO Jin-long, FU Liang, LU Zhe-xin, CHEN Zong-hui, LI Feng   

  1. Department of Cardiovascular Surgery, Shanghai Sixth People’ s Hospital, Shanghai Jiao Tong University, Shanghai 200233, China
  • Online:2020-05-28 Published:2020-05-28

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摘要： 患者71岁，男性，反复活动后胸闷、气促半年余入院。超声心动图提示二尖瓣、三尖瓣重度反流。患者1983年曾行体外循环下房间隔缺损修补术，2010年曾因肾功能衰竭行右肾移植术。2019年对该患者实施了二尖瓣和三尖瓣生物瓣置换，患者安全度过围术期，未发生明显感染及急性肾功能不全，且复查超声心动图人工二尖瓣、三尖瓣未见异常，最终顺利出院。对肾移植患者行体外循环心脏手术的报道较少，二次体外循环手术更为少见。该病例的临床资料及围术期的处理方法可为其他术者提供借鉴。

关键词: 体外循环, 瓣膜置换, 肾脏移植

Abstract:

A 71-year-old man was admitted to hospital due to chest tightness and shortness of breath for more than half a year. Echocardiography suggested severe mitral regurgitation and tricuspid regurgitation. The patient underwent repair of atrial septal defect under cardiopulmonary bypass in 1983 and right kidney transplantation in 2010 due to renal failure. Mitral and tricuspid biovalve replacement was performed on the patient in 2019. No obvious infection and acute renal insufficiency occurred after the operation, and no abnormality was found in the artificial mitral valve and tricuspid valve on echocardiography. The patient was discharged successfully. There are few reports of cardiopulmonary bypass for renal transplant patients, especially for the second time. This case and perioperative management can provide reference for other surgeons.

Key words: cardiopulmonary bypass, valve replacement, renal transplantation

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