罗斯手术对简单和复杂的左心脏病的早期结果
B S Marino1, G Wernovsky, J Rychik
1Division of Cardiology, Children's Hospital of Philadelphia, PA 19104, USA.
Circulation
|November 24, 1999
概括
罗斯手术在治疗儿科大动脉膜疾病方面提供了较低的死亡率 (1.5%),即使在复杂的情况下也是如此. 手术后腹腔动心 (VT) 是常见的,肺异常会影响结果.
科学领域:
- 心血管外科心血管外科
- 儿童心脏病学 儿童心脏病学
- 胸部外科手术 胸部外科手术
背景情况:
- 罗斯手术在儿科和年轻成年人群中越来越多地用于大动脉膜疾病.
- 关键的好处包括避免抗凝血和肺自身移植的增长潜力.
- 这项研究评估了机构的经验,比较了简单与复杂的左心脏病的结果.
研究的目的:
- 审查Ross程序的机构经验.
- 为了比较患有简单大动脉病患者的早期结果与复杂的左心脏病.
- 评估罗斯手术在儿科队列中的安全性和有效性.
主要方法:
- 在1995年1月至1998年10月期间,对66名接受罗斯手术的患者进行了回顾性审查.
- 分析患者人口统计数据,手术指示,并发手术和早期结果.
- 单独的门疾病患者和复杂的左心脏病患者以及之前的干预措施之间的结果比较.
主要成果:
- 罗斯手术对66名患者 (平均年龄为10.8岁) 进行,其中41人患有孤立疾病,25人患有复杂的左心脏病.
- 一例早期死亡 (1.5%) 发生在接受复杂的罗斯-康诺手术的患者身上.
- 在27.2%的患者中观察到术后腹腔动心 (VT),3名患者有中度的新动脉功能衰竭.
结论:
- 罗斯手术显示低死亡率 (1.5%) 和可接受的短期结果,即使在先前干预的复杂儿科病例中.
- 手术后腹腔动心 (VT) 是一个频繁发生的情况.
- 解剖肺异常可能会限制其作为自体移植的适用性.
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