Clinical Application of Fresh Autologous Pericardial Patch Transplantation in Cardiovascular Surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

HangYong-bin , LiGang , WangShu-wei , CaoJun-ying , YangQiao-ling , XuYan-bin , LiangQiang

Department of Cardiovascular Suegery, 153 Central Hospital of PLA, Hefei 450007, P. R. China;

Corresponding?author：

Keywords：

Fresh autologous pericardium; Cardiovascular surgery; Transplantation

DOI：

10.7507/1007-4848.20160212

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the clinical application of fresh autologous pericardial patch transplantation in cardiovascular surgery. Method From January 2008 to December 2014, we used fresh autologous pericardial patch as a repair material in surgical treatment of congenital heart disease, valvular and vascular malformation. A total of 239 patients were included (130 males, 109 females), with a mean age of 0.40±13.80 years ranging from 0.25-69.00 years, including 180 infants. Result The time of intensive care unit (ICU) stay was 3-15 days and the time of ventilator-assisted breathing was 4-100 hours. Postoperative atelectasis and pleural effusion occured in 8 patients and was cured successfully by closed thoracic drainage and anti-infection therapy. Nine patients died within 30 days after surgery, including 3 deaths caused by low cardiac output syndrome and acute renal failure, 5 deaths caused by multiple organ failure, and 1 death caused by malignant arrhythmia. All patients had no infective endocarditis, thrombosis, hemolysis, blood vessel stenosis, or calcification of pericardial patch. The cause of death was associated with the primary lesion, but not with transplanted pericardium. We followed up 198 patients for 3-64 months. During follow-up, echocardiography showed no patch graft vegetation, thrombosis, perforation or calcification. Conclusion The fresh autologous pericardium is a good material for repairing cardiac defects.

Citation： HangYong-bin, LiGang, WangShu-wei, CaoJun-ying, YangQiao-ling, XuYan-bin, LiangQiang. Clinical Application of Fresh Autologous Pericardial Patch Transplantation in Cardiovascular Surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(9): 885-888. doi: 10.7507/1007-4848.20160212 Copy

1.	Uva MS, Jebara VA, Acar C, et al. Mitral valve repair in patients with endomyocardial fibrosis. Ann Thorac Surg, 1992, 54 (1):89-92.
2.	David TE, Komeda M, Brofman PR. Surgical treatment of aortic root abscess. Circulation, 1989, 80(3 pt l):1269-1274.
3.	李業濤, 劉軍, 閻興治, 等.自體心包"C"形環三尖瓣成形術療效觀察.中國胸心血管外科臨床雜志, 2012, 19(6):642-644.
4.	David TE, Feindel CM, Ropchan GV. Reconstruction of the left ventricle with autologous pericardium. J Thorac Cardiovasc Surg, 1987, 94(5):710-714.
5.	Brown JW, Dun JM, Spooner E, et al. Late spontaneous disruption of a porcine xenograft mitril valve. J Thorac Cardiovasc Surg, 1978, 75(4):606.
6.	孫柏平, 張澤偉, 俞建根, 等. ASO術中自體心包重建肺動脈根部.中華胸心血管外科雜志, 2011, 27(6):354-356.
7.	劉錦紛, 主編.先天性心臟病外科綜合治療學.北京:北京大學醫學出版社, 2009. 29.
8.	Togo T, Iguchi A, Yaginuma G, et al. Experimental study of materials used for intra-atrial batfle for the Mustard operation. N ippon Kyobu Geka Gakkai Zasski, 1989, 37 (9):1937-1944.
9.	姜力駿, 張澤偉, 馮惠貞.主、肺動脈自體心包補片術后的轉歸.中華實驗外科雜志, 2005, 22(3):374.
10.	Adachi I, Yagihara T, Kagisaki K, et al. Immunohistological findings for an extracardiac conduit in Fontan pathway constructed with pedicled autologous pericardium. Eur J Cardiothorac Surg, 2006, 29(6):1059-1060.
11.	Adachi I, Vagihara T, Kagisaki K, et al. Fontan operation with a viable and growing conduit using pedicled autologous pericardial roll:serial changes in conduit geometry. J Thorac Cardiovasc Surg, 2005, 130(6):1517-1522.
12.	Schlichter AJ, K reutzer C, Mayorquim RC, et al. Five to fifteen year follow-up of fresh autologous peficardial valved conduits. Thorac Cardiovasc Surg, 2000, 119(5):869-879.
13.	劉錦紛, 鄭景浩, 蘇肇伉, 等.帶瓣自體心包片重建右室流出道的臨床研究.中華胸心血管外科雜志, 2004, 20(3):155.
14.	沈宗林, 劉志紅, 姬尚義.新鮮自體心包在心臟手術中的應用經驗.中國循環雜志, 2001, 16(1):53-55.
15.	劉學剛, 王祖義, 武開宏, 等.自體心包跨環補片在右心室流出道重建中的應用.中華胸心血管外科雜志, 2004, 20(4):199-201.
16.	陽世雄, 曾建業, 韋涌初, 等.法洛四聯癥矯治術中自體心包梯形補片加寬右心室流出道35例.中國胸心血管外科臨床雜志, 2006, 13(5):321.
17.	鄭景浩, 劉錦紛, 蘇肇伉, 等.自體帶瓣心包片在右心室流出道重建中的應用.中國胸心血管外科臨床雜志, 2003, 10(4):296-297.
18.	陳緒發, 朱曉東, 陶涼, 等.自體心包條加固三尖瓣瓣環成形術.中華胸心血管外科雜志, 2003, 19(2):120.
19.	徐志云, 張寶仁, 鄒良建, 等.應用自體心包行器質性三尖瓣病變瓣膜成形術.中華胸心血管外科雜志, 2003, 19(6):376.
20.	Anyanwu AC, Chikwe J, Adams DH. Tricuspid valve repair for treatment and prevention of secondary tricuspid regurgitation in patients undergoing mitral valve surgery. Curr Cardiol Rep, 2008, 10(2):110-117.
21.	Raja SG, Dreyfus GD. Surgery for functional tricuspid regurgitation:current techniques, outcomes and emerging concepts. Expert Rev Cardiovasc Ther, 2009, 7(1):73-84.
22.	許建屏, 葛翼鵬, 史藝, 等.三尖瓣改良De Vega環縮術的成形效果.中國胸心血管外科臨床雜志, 2006, 13 (5):298-301.

1. Uva MS, Jebara VA, Acar C, et al. Mitral valve repair in patients with endomyocardial fibrosis. Ann Thorac Surg, 1992, 54 (1):89-92.
2. David TE, Komeda M, Brofman PR. Surgical treatment of aortic root abscess. Circulation, 1989, 80(3 pt l):1269-1274.
3. 李業濤, 劉軍, 閻興治, 等.自體心包"C"形環三尖瓣成形術療效觀察.中國胸心血管外科臨床雜志, 2012, 19(6):642-644.
4. David TE, Feindel CM, Ropchan GV. Reconstruction of the left ventricle with autologous pericardium. J Thorac Cardiovasc Surg, 1987, 94(5):710-714.
5. Brown JW, Dun JM, Spooner E, et al. Late spontaneous disruption of a porcine xenograft mitril valve. J Thorac Cardiovasc Surg, 1978, 75(4):606.
6. 孫柏平, 張澤偉, 俞建根, 等. ASO術中自體心包重建肺動脈根部.中華胸心血管外科雜志, 2011, 27(6):354-356.
7. 劉錦紛, 主編.先天性心臟病外科綜合治療學.北京:北京大學醫學出版社, 2009. 29.
8. Togo T, Iguchi A, Yaginuma G, et al. Experimental study of materials used for intra-atrial batfle for the Mustard operation. N ippon Kyobu Geka Gakkai Zasski, 1989, 37 (9):1937-1944.
9. 姜力駿, 張澤偉, 馮惠貞.主、肺動脈自體心包補片術后的轉歸.中華實驗外科雜志, 2005, 22(3):374.
10. Adachi I, Yagihara T, Kagisaki K, et al. Immunohistological findings for an extracardiac conduit in Fontan pathway constructed with pedicled autologous pericardium. Eur J Cardiothorac Surg, 2006, 29(6):1059-1060.
11. Adachi I, Vagihara T, Kagisaki K, et al. Fontan operation with a viable and growing conduit using pedicled autologous pericardial roll:serial changes in conduit geometry. J Thorac Cardiovasc Surg, 2005, 130(6):1517-1522.
12. Schlichter AJ, K reutzer C, Mayorquim RC, et al. Five to fifteen year follow-up of fresh autologous peficardial valved conduits. Thorac Cardiovasc Surg, 2000, 119(5):869-879.
13. 劉錦紛, 鄭景浩, 蘇肇伉, 等.帶瓣自體心包片重建右室流出道的臨床研究.中華胸心血管外科雜志, 2004, 20(3):155.
14. 沈宗林, 劉志紅, 姬尚義.新鮮自體心包在心臟手術中的應用經驗.中國循環雜志, 2001, 16(1):53-55.
15. 劉學剛, 王祖義, 武開宏, 等.自體心包跨環補片在右心室流出道重建中的應用.中華胸心血管外科雜志, 2004, 20(4):199-201.
16. 陽世雄, 曾建業, 韋涌初, 等.法洛四聯癥矯治術中自體心包梯形補片加寬右心室流出道35例.中國胸心血管外科臨床雜志, 2006, 13(5):321.
17. 鄭景浩, 劉錦紛, 蘇肇伉, 等.自體帶瓣心包片在右心室流出道重建中的應用.中國胸心血管外科臨床雜志, 2003, 10(4):296-297.
18. 陳緒發, 朱曉東, 陶涼, 等.自體心包條加固三尖瓣瓣環成形術.中華胸心血管外科雜志, 2003, 19(2):120.
19. 徐志云, 張寶仁, 鄒良建, 等.應用自體心包行器質性三尖瓣病變瓣膜成形術.中華胸心血管外科雜志, 2003, 19(6):376.
20. Anyanwu AC, Chikwe J, Adams DH. Tricuspid valve repair for treatment and prevention of secondary tricuspid regurgitation in patients undergoing mitral valve surgery. Curr Cardiol Rep, 2008, 10(2):110-117.
21. Raja SG, Dreyfus GD. Surgery for functional tricuspid regurgitation:current techniques, outcomes and emerging concepts. Expert Rev Cardiovasc Ther, 2009, 7(1):73-84.
22. 許建屏, 葛翼鵬, 史藝, 等.三尖瓣改良De Vega環縮術的成形效果.中國胸心血管外科臨床雜志, 2006, 13 (5):298-301.

Previous Article
Clinical Analysis of Staged Repair for Severe Tetralogy of Fallot in Children
Next Article
Failure Factors of Noninvasive Positive Pressure Ventilation for Hypoxemia after Cardiac Surgery

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Clinical Application of Fresh Autologous Pericardial Patch Transplantation in Cardiovascular Surgery

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content