退行 的 な 側頭管 狭窄 症: 皮膚 を 貫通 する 手術 の 必要 が 満たさ れ て い ない
Karan Sud1, Shikhar Agarwal1, Akhil Parashar1
1From Departments of Cardiovascular Medicine (K.S., S.A., M.Q.R., K.P., D.M., L.L.R., A.K., E.M.T., S.R.K.), Internal Medicine (A.P.), and Thoracic and Cardiovascular Surgery (S.L.M., A.M.G.), Cleveland Clinic, OH.
Circulation
|May 5, 2016
まとめ
退行性ミトラル狭窄症 (DMS) は,ミトラル環状石化によって引き起こされ,高齢の患者に影響します. 手術ができない高リスクの患者に 新しい皮膚経由の治療が必要である.
科学分野:
- 心臓病科
- バルブ性心臓病
背景:
- 退行性ミトラル狭窄症 (DMS) は,重度のミトラル環状石灰化から生じる.
- 平均寿命が伸びるため 併発性疾患や手術のリスクが高い高齢者が増えています
研究 の 目的:
- 退行性側頭管狭窄症の流行病学,診断,治療について見直す.
- 手術不能または高リスクのDMS患者に対する 皮膚経由による代替アプローチの必要性を強調する.
主な方法:
- 退行性ミトラス狭窄症に関する現在のデータの文献レビュー.
- 診断の検討と治療戦略の分析
主要な成果:
- DMS は 発展 し た 国 で,特に 年配 の 人々 の 間 で 増加 し て いる 懸念 の 種 です.
- 医学的管理は主要な治療法ですが,手術の選択肢は,広範な結石化と患者の併発症によって制限されています.
結論:
- 変性ミトラル狭窄症の 創新的な皮膚経由の治療法が必要とされています
- 現在の治療は 症状が深刻になるまで 手術を延期することで 集中しています
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