解剖肺在全身循环中的功能
K J Jenkins1, F L Hanley, S D Colan
1Department of Cardiology, Children's Hospital, Boston, MA 02115.
Circulation
|November 11, 1991
概括
肺被重新设计为新动脉,在复杂的心脏手术 (如动脉切换手术 (ASO) 和左侧心脏缺血综合征 (HLHS) 修复) 后出现高频率的吐. 然而,没有观察到显著的狭窄,这表明大多数情况下可以接受的长期功能.
科学领域:
- 心血管外科心血管外科
- 儿童心脏病学 儿童心脏病学
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 肺门在复杂的先天性心脏手术中被重新用作门.
- 肺在全身循环中的长期功能尚不清楚.
研究的目的:
- 为了研究肺膜的长期功能,当它被用作新动脉膜.
- 评估特定外科手术后新动脉吐和狭窄的发生率.
主要方法:
- 对189名患者的回声心脏图,导管数据和血管图的回顾性审查.
- 对动脉切换手术 (ASO),心脏左侧低可塑性综合征 (HLHS) 修复和肺动脉到大动脉 (P-A) 解剖术后的结果进行分析.
- 检查影响门功能的因素,包括手术前解剖,肺动脉带纹 (PAB) 和随访时间.
主要成果:
- 在ASO后41%的患者,在HLHS修复后60%的患者,在P-A解剖后50%的患者观察到新动脉吐.
- 只有8名患者有超过微不足道/轻微的反;没有观察到新大风管狭窄.
- 之前的PAB安置增加了两阶段ASO后吐的可能性,完整的心室隔膜与ASO患者的吐率更高有关.
结论:
- 肺作为一个新动脉的功能,在长期内有高频率的反,但最小的狭窄.
- 诸如先前的PAB和心室隔膜完整性等因素会在特定的先天性心脏手术后影响新动脉吐.
相关概念视频
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