对肺动脉缩的右心室外流贴片的结果,心室隔膜完好无损
J Steinberger1, J M Berry, J L Bass
1Division of Pediatric Cardiology, University of Minnesota, Minneapolis.
Circulation
|November 1, 1992
概括
在肺缩和完整的腹腔隔膜的新生儿中,早期右心室外流补丁为双心室修复提供了很好的机会,改善了长期的结果.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 生产性心脏病 手术 手术 生产性心脏病
背景情况:
- 无损的心室隔膜的肺动脉缩带来了重大的外科手术挑战.
- 总体结果的改善仍然使这种情况难以管理.
研究的目的:
- 为了评估早期右心室外流贴片的有效性,以实现双心室修复.
- 评估患有这种疾病的新生儿的长期结果.
主要方法:
- 在1979年至1990年期间进行修复的19名新生儿的回顾性审查.
- 分析了早期右心室外流补丁的放置,前列腺素E1输液和冠状动脉鼻绑定.
- 根据右心室形态来对患者进行分类 (三部分或两部分/单部分).
主要成果:
- 在整个队列中,观察到79%的五年生存率.
- 四名婴儿 (所有2组) 在12个月内死亡.
- 在15名幸存者中,有14人患有青病,在纽约心脏协会的功能级I,有12人实现了双心室修复.
结论:
- 早期的右心室外流补丁放置与成功修复双心室的可能性很高.
- 这种方法是有效的,无论最初的右心室解剖学.
- 幸存者表现出显著的右心室和三管环的生长.
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