大動脈狭窄症と小動脈門
Afonso B Freitas-Ferraz1, Gabriela Tirado-Conte1, Francois Dagenais1
1Quebec Heart and Lung Institute, Laval University, Quebec City, Canada (A.B.F.-F., G.T.-C., F.D., E.D., S.M., M.B., P.P., J.R.-C.).
Circulation
|June 4, 2019
まとめ
重度の大動脈狭窄の治療は 特に高齢の女性にとって 困難です このレビューでは,この患者群の血液動力学と結果を改善するための治療戦略を評価しています.
科学分野:
- 心臓病科
- 心臓外科
- 介入心臓科
背景:
- 狭い大動脈の輪は,重度の大動脈狭窄で,特に高齢の女性では頻繁に発生する.
- 小型の大動脈のアンヌルスの患者に対する最適の管理戦略は依然として議論の余地があります.
- 既存の手術の選択肢には 大動脈の根の拡大と様々な義足弁が含まれます
研究 の 目的:
- 大動脈狭窄における小さな大動脈環の有病率と臨床的影響を定義し,検討する.
- この集団における血液動力学と結果の改善のための現在の治療戦略を評価する.
- トランスキャテーターによる大動脈弁置換を 実現可能な代替手段として強調する
主な方法:
- 現在の定義,流行,臨床効果に関する文献レビュー.
- 手術とトランスキャテーターの治療戦略の分析
- 血液動力学と臨床結果の評価
主要な成果:
- 狭い大動脈は重度の大動脈狭窄の管理に重大な課題を伴います.
- 弁の血液動力学と患者の結果を改善することを目的とした様々な手術手法があります.
- トランスキャテーターによる大動脈弁置換は,このコホートにおいて有望な血液動力学的結果を示しています.
結論:
- 大動脈狭窄における小動脈環の有効な管理には,利用可能な治療選択肢を慎重に検討する必要があります.
- トランスキャテーターによる大動脈弁置換は 特に高齢の患者にとって 価値ある代替手段です
- 治療戦略と長期的な結果を最適化するためにさらなる研究が必要です.
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