大动脉的转移大动脉的转移
1Division of Cardiovascular Diseases and Department of Internal Medicine, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA. warnes.carole@mayo.edu
Circulation
|December 13, 2006
概括
患有复杂先天性心脏病的成年人,包括大动脉的转移,面临心力衰竭和心律失常等长期风险. 专门的护理中心对于管理这些终身状况至关重要.
科学领域:
- 心脏病学 心脏病学
- 成年人的先天性心脏病
- 心脏外科手术 心脏外科手术
背景情况:
- 许多患有心室动脉异调的成年人,一个复杂的心脏缺陷,活到成年.
- 常见的手术修复,如大动脉完全转移的子或森宁手术,将右心室 (RV) 置于全身循环中.
- 长期并发症是常见的,并且根据最初的缺陷和手术修复而有所不同.
研究的目的:
- 审查患有心室动脉异调的成年患者的长期结果和管理挑战.
- 要突出常见的并发症,如RV衰竭,心律失常和门功能障碍.
- 强调需要在专家中心提供专门的终身护理.
主要方法:
- 对成人先天性心脏病患者的临床结果和管理策略的审查.
- 在心房切换和动脉切换手术后的并发症分析.
- 讨论先天纠正转换的挑战.
主要成果:
- 在心房切换手术后,右心室衰竭和三腹反是常见的.
- 动脉切换手术可能导致冠状动脉狭窄和大动脉根扩张.
- 先天纠正的转移与渐进的三管吐和RV功能障碍有关,需要早期进行手术.
结论:
- 患有心室动脉异调的成年人需要终身监测渐进的并发症.
- 早期检测和干预VR功能障碍和三管吐是非常重要的.
- 应在专业中心进行管理,在成人先天性心脏病方面具有专业知识.
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