心脏手术

如果你有 心脏病, you may have already had certain procedures to help you survive your 心脏病 and diagnose your condition. 例如, 许多心脏病发作的人都接受过溶栓治疗, a procedure that involves injecting a clot-dissolving agent to restore blood flow in a coronary artery. This procedure should be administered within 30 minutes of the patient’s arrival at the hospital for maximum results. 如果在心脏病发作后不立即进行这种治疗, many people will need to undergo coronary angioplasty or coronary artery bypass graft surgery (CABG) later to improve blood supply to the heart muscle. 

冠状动脉

查看冠状动脉示意图(链接在新窗口中打开).

看到 诊断测试和程序 to understand the tests you may have to find out if you had a 心脏病, 造成了多大的破坏,破坏程度如何 冠状动脉疾病(CAD) 你有.

心脏手术

冠状动脉血管成形术

也被称为经皮冠状动脉介入治疗, 球囊血管成形术和冠状动脉球囊扩张术.

血管成形术示意图

查看血管成形术的动画.

这个程序是做什么的

Special tubing with an attached deflated balloon is threaded up to the 冠状动脉. The balloon is inflated to widen blocked areas where blood flow to the heart muscle has been reduced or cutoff. Often combined with implantation of a stent to help hold the artery open and decrease the chance of another blockage. 被认为侵入性较小,因为身体没有被切开. 手术线上电子游戏飞禽走兽从30分钟到几个小时不等. 可能需要住院过夜.

程序的原因

  • 大大增加堵塞动脉的血流量.
  • 减少 胸痛(心绞痛).
  • Increases ability for physical activity that has been limited by angina or ischemia.
  • 还可以用来打开颈部和脑部的动脉来帮助预防吗 中风.

可能在手术后开处方的药物

了解更多关于 心脏药物, 包括双重抗血小板治疗, that you may need to take after your procedure to prevent complications and to put you on the path for the best recovery.

下载我们的“用心回答”表格: 什么是冠状动脉成形术? (PDF)

激光血管成形术

这个程序是做什么的

Similar to angioplasty except the catheter has a laser tip that opens the blocked artery. 脉冲光束使积聚的斑块蒸发.

程序的原因

  • 增加堵塞动脉的血流量.

心脏瓣膜手术

(也被称为 心脏瓣膜修复或置换手术)

TAVR动画

观看心脏瓣膜和心脏瓣膜手术的动画

这个程序是做什么的

修复或替换不正常或患病的器官 心脏瓣膜 一个健康的人.

程序的原因

  • 恢复心脏瓣膜功能.

下载我们的“用心回答”表格: 为什么我需要心脏瓣膜手术? (PDF)

Atherectomy

这个程序是做什么的

Similar to angioplasty except that the catheter has a rotating shaver on its tip to cut away plaque from the artery.

程序的原因

  • Increases blood flow through the blocked artery by removing plaque buildup.
  • May also be used in carotid arteries (major arteries of the neck leading to the brain) to remove plaque and reduce risk for 中风.

心脏搭桥手术

(也被称为 Coronary Artery Bypass Graft Surgery or CABG (pronounced "cabbage") 

CABG图解

查看冠状动脉旁路手术示意图(链接在新窗口中打开).

这个程序是做什么的

Treats blocked heart arteries by taking arteries or veins from other parts of your body — called grafts — and using them to reroute the blood around the clogged artery to supply blood flow to your heart muscle. 一个人可能会经历一次, 两个, 三次或更多的旁路移植, 取决于有多少动脉被狭窄. 需要在医院住几天. 查看血流的动画(链接在新窗口中打开).

下载我们的“用心回答”表格: 什么是冠状动脉搭桥手术? (PDF)

程序的原因

  • One of the most common and effective procedures to manage blockage of blood flow to the heart muscle.
  • 改善心脏的血液和氧气供应.
  • 缓解 胸痛(心绞痛).
  • 降低心脏病发作的风险.
  • 提高身体活动能力 that has been limited by angina or ischemia.

可能在手术后开处方的药物

了解更多关于 心脏药物, 包括双重抗血小板治疗, that you may need to take after your procedure to prevent complications and to put you on the path for the best recovery.

心脏移植手术

这个程序是做什么的

Removes a diseased heart and replaces it with a healthy human heart when a person's heart is irreversibly damaged. 使用器官捐献的心脏.

程序的原因

  • Recognized as a proven procedure to restore heart health in select patients.

微创心脏手术

(也被称为 Limited Access Coronary Artery Surgery and includes Port-Access Coronary Artery Bypass (PACAB or PortCAB) and Minimally Invasive Coronary Artery Bypass Graft (MIDCAB or minimally invasive CABG)

这个程序是做什么的

标准搭桥手术(CABG)的替代方案. 在胸部做小切口(“孔”). Chest arteries or veins from your leg are attached to the heart to "bypass" the clogged coronary artery or arteries. 仪器通过端口进行旁路. The surgeon views these operations on video monitors rather than directly. In PACAB, the heart is stopped and blood is pumped through an oxygenator or "heart-lung" machine. MIDCAB用于避免心肺机. 这是在心脏还在跳动的时候做的. 需要在医院住几天.

程序的原因

  • Manages blockage of blood flow to the heart and improves the supply of blood and oxygen to the heart.
  • 缓解 胸痛(心绞痛).
  • 降低心脏病发作的风险.
  • 提高身体活动能力.

射频消融术

(也称为导管消融)

这个程序是做什么的

A catheter with an electrode at its tip is guided through the veins to the heart muscle with real-time, 显示在视频屏幕上的移动x射线(透视). The catheter is placed at the exact site inside the heart where cells give off the electrical signals that cause the abnormal heart rhythm. 然后是温和的, painless radiofrequency energy (similar to microwave heat) is transmitted to the pathway. This destroys select heart muscle cells in a very small area (about 1/5 of an inch).

程序的原因

  • Preferred treatment for many types of rapid heartbeats (arrhythmias) especially supraventricular tachyarrhythmias.

了解更多关于 消融.

支架位置

这个程序是做什么的

A stent is a wire mesh tube used to hold open an artery that is placed during angioplasty. 支架会永久地留在动脉中.

支架示意图

查看支架的动画(链接在新窗口中打开)

Coronary narrowings can form again within 支架 and are referred to as “restenosis.”

程序的原因

下载我们的“用心回答”表格: 什么是支架? (PDF)

可能在手术后开处方的药物

了解更多关于 心脏药物, 包括双重抗血小板治疗, that you may need to take after your procedure to prevent complications and to put you on the path for the best recovery.

了解更多关于 支架.

心肌血管重建术(TMR)

这个程序是做什么的

在左乳房上做一个切口,露出心脏. 然后, a laser is used to create a series of holes from the outside of the heart into the heart's pumping chamber. 在一些患者中,TMR与搭桥手术相结合. In those cases an incision through the breastbone is used for the bypass. 通常需要住院治疗.

程序的原因

  • Used to relieve severe 胸痛(心绞痛) in very ill people who would not be completely revascularized by CABG or angioplasty alone and may be at increased risk of 心脏病. 

心脏手术:实现和修复
心脏手术:康复和恢复
交互式心血管图书馆缩略图

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