在功能性缺血性 mitrale 吐修复后,三管吐的进展
Akira Matsunaga1, Carlos M G Duran
1The International Heart Institute of Montana Foundation, Saint Patrick Hospital and Health Sciences Center, University of Montana, Missoula, Montana, USA.
Circulation
|September 15, 2005
概括
功能性三腹吐 (TR) 通常在缺血性腹吐 (MR) 进行中枢修复 (MVRep) 后持续或发展. 三管环的大小可以预测TR晚期发育.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 功能性三回 (TR) 可以在左侧心脏病变的手术纠正后持续或再次出现.
- 功能性缺血性 mitrale 反 (MR) 的 mitrale 修复 (MVRep) 是一个常见的程序.
研究的目的:
- 分析在接受MVRep治疗功能性缺血性MR的患者中TR的发生率和进展情况.
- 为了确定晚期TR发展的预测因素后MVRep.
主要方法:
- 对124名接受MVRep治疗功能性缺血性MR的患者进行了回顾性分析.
- 术前和后续的胸前心电回声检查,以评估MR和TR的严重程度.
- 与TR发育相关的三环大小的分析.
主要成果:
- 30%的患者有先前存在的TR;只有9人得到了修复.
- 术后的TR发病率是相似的,无论三角被修复还是忽略.
- 在最后一次随访时,显著的TR存在于49%的患者中,随着时间的推移而增加.
- 较大的手术前和手术后三管环大小与晚期TR相关.
结论:
- 功能性TR在功能性缺血性MR患者中很常见.
- 近50%的患者在MVRep后发展TR,随着时间的推移,发病率会增加.
- 手术前的三环扩张是晚期TR的潜在预测因素.
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