Application of Minimal Extracorporeal Circulation in the Aortic Valve Replacement_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

熊德生

武汉亚洲心脏病医院体外循环科（武汉 430022）;

Corresponding author：

Keywords：

主动脉瓣置换术; 微创; 体外循环

DOI：

10.7507/1007-4848.20150290

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目的观察微创体外循环（minimal extracorporeal circulation，MECC）对主动脉瓣置换术临床效果的影响。方法回顾性分析我院2010年3月至2012年10月共25例应用MECC方法行单纯主动脉瓣置换术（AVR）的临床资料，其中男15例、女10例，年龄40（19～58）岁。结果总体外循环时间67（51～89）min、主动脉阻断时间42（33～63）min、转流中最低血红蛋白（Hb）9.6（8.3～12.6）g/dl、流转后Hb 9.5（7.7～12.6）g/dl，体外循环中无1例患者因Hb低而输入红细胞。所有患者均顺利拔除胸腔引流管，顺利出院，无院内死亡。结论 MECC系统应用于主动脉瓣置换安全可行，比传统心肺旁路系统具有更好的生物相容性和良好的临床结果，值得推广。

Citation： 熊德生. Application of Minimal Extracorporeal Circulation in the Aortic Valve Replacement. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(12): 1170-1172. doi: 10.7507/1007-4848.20150290 Copy

1.	Fromes Y, Gaillard D, Ponzio O, et al. Reduction of the inflammatory response following coronary bypass grafting with total minimal extracorporeal circulation. Eur J Cardiothorac Surg, 2002, 22(4):527-533.
2.	Remadi JP, Rakotoarivello Z, Marticho P, et al. Aortic valve replacement with the minimal extracorporeal circulation (Jostra MECC System) versus standard cardiopulmonary bypass:a randomized prospective trial. J Thorac Cardiovasc Surg, 2004, 128(3):436-441.
3.	Panday GF, Fischer S, Bauer A, et al. Minimal extracorporeal circulation and off-pump compared to conventional cardiopulmonary bypass in coronary surgery. Interact Cardio Vasc Thorac Surg, 2009, 9(5):832-836.
4.	Harig F, Feyrer R, Mahmoud F, et al. Reducing the post-pump syndrome by using heparin-coated circuits, steroids, or aprotinin. Thorac Cardiovasc Surg, 1999, 47(2):111-118.
5.	Schonberger J, Everts P, Hoffmann J. Systemic blood activation with open and closed venous reservoirs. Ann Thorac Surg, 1999, 59(6):1549-1555.
6.	刘燕, 崔虎军, 陶凉. 微创体外循环对冠状动脉旁路移植术患者围手术期血液保护的临床研究. 中华外科杂志, 2011, 49(4):307-310.
7.	熊德生. 微创体外循环对冠状动脉旁路移植术的临床效果观察. 临床外科杂志, 2013, 21 (8):631-633.
8.	Remadi JP, Rakotoarivelo Z, Marticho P, et al. Prospective randomized study comparing coronary artery bypass grafting with the new mini-extracorporeal circulation Jostra system or with a standard cardiopulmonary bypass. Am Heart J, 2006, 151(1):198.
9.	Sjatskig J1, Yilmaz A, van Boven JW, et al. Feasibility of mitral valve surgery using minimal extracorporeal circulation. Perfusion, 2012, 27(4):264-268.
10.	Donndorf P, Kühn F, Vollmar B,et al. Comparing microvascular alterations during minimal extracorporeal circulation and conventional cardiopulmonary bypass in coronary artery bypass graft surgery:a prospective, randomized study. J Thorac Cardiovasc Surg, 2012, 144(3):677-683.
11.	Anastasiadis K, Argiriadou H, Kosmidis MH, et al. Neurocognitive outcome after coronary artery bypass surgery using minimal versus conventional extracorporeal circulation:a randomised controlled pilot study. Heart, 2011, 97(13):1082-1088.
12.	Anastasiadis K, Hadjimiltiades S, Antonitsis P. Successful high-risk percutaneous coronary intervention with the use of minimal extracorporeal circulation system. Catheter Cardiovasc Interv, 2012, 80(5):845-849.
13.	Anastasiadis K, Fragoulakis V, Antonitsis P, et al. Coronary artery bypass grafting with minimal versus conventional extracorporeal circulation; an economic analysis. Int J Cardiol, 2013, 168(6):5336-5343.

1. Fromes Y, Gaillard D, Ponzio O, et al. Reduction of the inflammatory response following coronary bypass grafting with total minimal extracorporeal circulation. Eur J Cardiothorac Surg, 2002, 22(4):527-533.
2. Remadi JP, Rakotoarivello Z, Marticho P, et al. Aortic valve replacement with the minimal extracorporeal circulation (Jostra MECC System) versus standard cardiopulmonary bypass:a randomized prospective trial. J Thorac Cardiovasc Surg, 2004, 128(3):436-441.
3. Panday GF, Fischer S, Bauer A, et al. Minimal extracorporeal circulation and off-pump compared to conventional cardiopulmonary bypass in coronary surgery. Interact Cardio Vasc Thorac Surg, 2009, 9(5):832-836.
4. Harig F, Feyrer R, Mahmoud F, et al. Reducing the post-pump syndrome by using heparin-coated circuits, steroids, or aprotinin. Thorac Cardiovasc Surg, 1999, 47(2):111-118.
5. Schonberger J, Everts P, Hoffmann J. Systemic blood activation with open and closed venous reservoirs. Ann Thorac Surg, 1999, 59(6):1549-1555.
6. 刘燕, 崔虎军, 陶凉. 微创体外循环对冠状动脉旁路移植术患者围手术期血液保护的临床研究. 中华外科杂志, 2011, 49(4):307-310.
7. 熊德生. 微创体外循环对冠状动脉旁路移植术的临床效果观察. 临床外科杂志, 2013, 21 (8):631-633.
8. Remadi JP, Rakotoarivelo Z, Marticho P, et al. Prospective randomized study comparing coronary artery bypass grafting with the new mini-extracorporeal circulation Jostra system or with a standard cardiopulmonary bypass. Am Heart J, 2006, 151(1):198.
9. Sjatskig J1, Yilmaz A, van Boven JW, et al. Feasibility of mitral valve surgery using minimal extracorporeal circulation. Perfusion, 2012, 27(4):264-268.
10. Donndorf P, Kühn F, Vollmar B,et al. Comparing microvascular alterations during minimal extracorporeal circulation and conventional cardiopulmonary bypass in coronary artery bypass graft surgery:a prospective, randomized study. J Thorac Cardiovasc Surg, 2012, 144(3):677-683.
11. Anastasiadis K, Argiriadou H, Kosmidis MH, et al. Neurocognitive outcome after coronary artery bypass surgery using minimal versus conventional extracorporeal circulation:a randomised controlled pilot study. Heart, 2011, 97(13):1082-1088.
12. Anastasiadis K, Hadjimiltiades S, Antonitsis P. Successful high-risk percutaneous coronary intervention with the use of minimal extracorporeal circulation system. Catheter Cardiovasc Interv, 2012, 80(5):845-849.
13. Anastasiadis K, Fragoulakis V, Antonitsis P, et al. Coronary artery bypass grafting with minimal versus conventional extracorporeal circulation; an economic analysis. Int J Cardiol, 2013, 168(6):5336-5343.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Application of Minimal Extracorporeal Circulation in the Aortic Valve Replacement

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