左侧癌性心脏病的手术治疗方法
H M Connolly1, H V Schaff, C J Mullany
1Division of Cardiovascular Disease, Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota, USA. connolly.heidi@mayo.edu
Circulation
|September 25, 2001
概括
癌性心脏病可以影响左侧和右侧的心脏门. 心脏外科手术为患有这种疾病的精选患者提供功能改善,即使患有转移性疾病.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 心脏外科手术 心脏外科手术
背景情况:
- 癌性心脏病 (CHD) 可能涉及左侧门,特别是在肺癌瘤,卵孔和高血清素水平的情况下.
- 本研究侧重于影响左侧和右侧门的冠状动脉疾病的临床特征和手术治疗.
研究的目的:
- 详细说明患有影响左侧和右侧门的癌性心脏病患者的临床特征.
- 描述这些患者的手术管理和结果.
主要方法:
- 在1989年至1999年间,对11名患有症状性心血管疾病的患者进行了回顾性审查,这些患者接受了手术.
- 外科手术包括门置换/修复 (三管,肺管,二管,大动脉),CABG,门关闭,心肌瘤切除等.
主要成果:
- 所有11名患者均患有转移性癌性瘤和症状性门疾病 (NYHA中位数为3级).
- 55%的患者没有心内排流.
- 术后死亡率为18% (2例死亡),随访期间还有4例死亡. 幸存者表现出显著的功能改善.
结论:
- 癌性心脏病可以影响左侧门和右侧门,不论心脏内转向.
- 尽管由于转移性疾病而寿命有限,但手术干预可以改善某些患者的功能能力.
- 心脏手术对于经过精心挑选的患有心脏癌性心脏病,涉及心脏两侧的患者来说是一个可行的选择.
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