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

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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

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2.	David TE, Komeda M, Brofman PR. Surgical treatment of aortic root abscess. Circulation, 1989, 80(3 pt l):1269-1274.
3.	李业涛, 刘军, 阎兴治, 等.自体心包"C"形环三尖瓣成形术疗效观察.中国胸心血管外科临床杂志, 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.	孙柏平, 张泽伟, 俞建根, 等. ASO术中自体心包重建肺动脉根部.中华胸心血管外科杂志, 2011, 27(6):354-356.
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9.	姜力骏, 张泽伟, 冯惠贞.主、肺动脉自体心包补片术后的转归.中华实验外科杂志, 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.	刘锦纷, 郑景浩, 苏肇伉, 等.带瓣自体心包片重建右室流出道的临床研究.中华胸心血管外科杂志, 2004, 20(3):155.
14.	沈宗林, 刘志红, 姬尚义.新鲜自体心包在心脏手术中的应用经验.中国循环杂志, 2001, 16(1):53-55.
15.	刘学刚, 王祖义, 武开宏, 等.自体心包跨环补片在右心室流出道重建中的应用.中华胸心血管外科杂志, 2004, 20(4):199-201.
16.	阳世雄, 曾建业, 韦涌初, 等.法洛四联症矫治术中自体心包梯形补片加宽右心室流出道35例.中国胸心血管外科临床杂志, 2006, 13(5):321.
17.	郑景浩, 刘锦纷, 苏肇伉, 等.自体带瓣心包片在右心室流出道重建中的应用.中国胸心血管外科临床杂志, 2003, 10(4):296-297.
18.	陈绪发, 朱晓东, 陶凉, 等.自体心包条加固三尖瓣瓣环成形术.中华胸心血管外科杂志, 2003, 19(2):120.
19.	徐志云, 张宝仁, 邹良建, 等.应用自体心包行器质性三尖瓣病变瓣膜成形术.中华胸心血管外科杂志, 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.	许建屏, 葛翼鹏, 史艺, 等.三尖瓣改良De Vega环缩术的成形效果.中国胸心血管外科临床杂志, 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. 李业涛, 刘军, 阎兴治, 等.自体心包"C"形环三尖瓣成形术疗效观察.中国胸心血管外科临床杂志, 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. 孙柏平, 张泽伟, 俞建根, 等. ASO术中自体心包重建肺动脉根部.中华胸心血管外科杂志, 2011, 27(6):354-356.
7. 刘锦纷, 主编.先天性心脏病外科综合治疗学.北京:北京大学医学出版社, 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. 姜力骏, 张泽伟, 冯惠贞.主、肺动脉自体心包补片术后的转归.中华实验外科杂志, 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. 刘锦纷, 郑景浩, 苏肇伉, 等.带瓣自体心包片重建右室流出道的临床研究.中华胸心血管外科杂志, 2004, 20(3):155.
14. 沈宗林, 刘志红, 姬尚义.新鲜自体心包在心脏手术中的应用经验.中国循环杂志, 2001, 16(1):53-55.
15. 刘学刚, 王祖义, 武开宏, 等.自体心包跨环补片在右心室流出道重建中的应用.中华胸心血管外科杂志, 2004, 20(4):199-201.
16. 阳世雄, 曾建业, 韦涌初, 等.法洛四联症矫治术中自体心包梯形补片加宽右心室流出道35例.中国胸心血管外科临床杂志, 2006, 13(5):321.
17. 郑景浩, 刘锦纷, 苏肇伉, 等.自体带瓣心包片在右心室流出道重建中的应用.中国胸心血管外科临床杂志, 2003, 10(4):296-297.
18. 陈绪发, 朱晓东, 陶凉, 等.自体心包条加固三尖瓣瓣环成形术.中华胸心血管外科杂志, 2003, 19(2):120.
19. 徐志云, 张宝仁, 邹良建, 等.应用自体心包行器质性三尖瓣病变瓣膜成形术.中华胸心血管外科杂志, 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. 许建屏, 葛翼鹏, 史艺, 等.三尖瓣改良De Vega环缩术的成形效果.中国胸心血管外科临床杂志, 2006, 13 (5):298-301.

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Clinical Application of Fresh Autologous Pericardial Patch Transplantation in Cardiovascular Surgery

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