概括
在18名患者上动脉狭窄的手术显示出不同的结果. 左心室 - 大动脉旁路分流可能有利于扩散性阻塞病例.
科学领域:
- 心脏病学 心脏病学
- 儿科手术 儿科手术
- 心血管外科心血管外科
背景情况:
- 上大动脉狭窄 (SVAS) 在手术管理中提出了挑战.
- 有两种形式的SVAS存在:离散阻塞和扩散阻塞.
- 手术的目的是缓解压力梯度,防止并发症.
研究的目的:
- 在20年的时间内审查上大动脉狭窄的手术结果.
- 评估不同手术技术对离散和扩散SVAS的有效性.
- 为复杂的SVAS病例确定最佳的外科手术方法.
主要方法:
- 在1956年至1976年期间,对18名接受SVAS手术的患者进行了回顾性审查.
- 手术治疗包括为离散阻塞插入假肢带.
- 在某些特定情况下,左心室 - 大动脉旁路分流被用于扩散性阻塞.
主要成果:
- 离散阻塞 (11名患者):一个手术死亡;残留梯度不同.
- 扩散性阻塞 (7名患者):三个手术死亡;在LV-大动脉绕行术的情况下,在一个病例中实现了完全的梯度缓解.
- 在手术后20个月内,LV-大动脉旁路术患者仍然无症状.
结论:
- 假肢带插入是离散SVAS的一个可行的选择.
- 左心室-大动脉旁路突变显示出对扩散性SVAS和低可塑性环节的承诺.
- 对复杂的SVAS进行LV-aortic绕道的进一步调查是有必要的.
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