ミトラル小葉の解剖学的な変異: ユニフィードとアクセサリー・スキャロップ
Buse Naz Çandir Gürses1, Kader Yilar2, Çağla Ergin3
1Department of Anatomy, Faculty of Medicine, Istanbul Yeni Yüzyıl University, Istanbul, Turkey.
まとめ
健康な個体では 重要な形態学的変化が見られます これらの解剖学的差異は,付属性および統一性のある頭蓋骨を含み,ミトラル弁の修復の手続きにおいて極めて重要です.
科学分野:
- アナトミー
- 心血管外科
- 医療用イメージング
背景:
- ミトラル弁の複雑な構造は 心臓の機能に不可欠です
- ミトラル弁の形状を理解することは 手術の成功に不可欠です
研究 の 目的:
- ミトラル弁の小葉との形態学的変異を調査する.
- 健康な個体におけるこれらの変化の形態測定値を決定する.
主な方法:
- 解剖した新鮮な心臓の分析
- 心臓の重量,寸法,ミトラル弁の周回りの測定
- ミトラル・リーフレットとスキャロップの形状,ヒンジの距離,高さの詳細な記録
主要な成果:
- クラシックな用紙形状は64%で観察された.
- アクセサリー・スカロップは24%で ユニファイド・スカロップは12%です
- 年齢,性別,心臓の大きさにかかわらず,貝殻の数と形状の有意な変化
結論:
- ミトラル弁の小葉と頭蓋骨には大きな形状の違いがある.
- これらの変異は,ミトラル弁の修復中に手術計画と装置/縫合の配置に影響を与えます.
- 解剖学的変異は,患者の一般的な特徴に基づいて予測できません.
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